Sue Ellen Somerville, OTD, OTR/L, ATP

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5073 Issued in AL

Practice address

9837 US Highway 98
Fairhope, AL 36532-5855

Phone

(251) 517-7787

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1295546695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CHERYIL LN",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953306",
            "telephone_number": "941-204-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9837 US HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325855",
            "telephone_number": "251-517-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVILLE",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "credential": "OTD, OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Baldwin Smith, PHARMD
• William Harrison Smith, DO
• Richard Lewis Snellgrove, MD
• Naline Sokom, PHARMD
• Arielle Solomon, MD
• South Alabama Orthodontics LLC
• Justin F Southall, D.C.
• Southeast Podiatry PC
• Southeast Podiatry PC
• Southern Eye Group of Alabama, LLC

• Pediatric Occupational Therapist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.