Mary Susan Trail, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0072741 Issued in NY

Practice address

6838 Industrial Park Road
Bath, NY 14810

Phone

(607) 776-0325

Fax

(607) 776-9366

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Susan Allen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295810083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 STE RTE 36",
            "city": "CANISTEO",
            "state": "NY",
            "postal_code": "14823",
            "telephone_number": "607-698-2775",
            "fax_number": "607-776-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 INDUSTRIAL PARK ROAD",
            "city": "BATH",
            "state": "NY",
            "postal_code": "14810",
            "telephone_number": "607-776-0325",
            "fax_number": "607-776-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAIL",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0072741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ALLEN",
            "middle_name": "SUSAN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jo-Anne Taylor, RN
• Caleigh Marie Thompson, LMSW
• Judy Ann Thompson, LICENSED PRACTICAL N
• Tops Markets LLC
• Dorothy May Trail
• Kirsten Travis
• Nanette Lamm Treadwell, R.P.A.C.
• Jill Troup
• Bruce Tucker, LCSW
• Diane Tucker, RPH

• Occupational Therapist in Bath, NY
• Providers in Bath, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.