Individual provider Active NPI

Susan Murdoch Wilmeth, MSOT

  • Occupational Therapist
  • Ellicott City, MD
National Provider Identifier
1336705243
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
03082 Issued in MD
Practice address
5086 Dorsey Hall Dr Ste 106
Ellicott City, MD 21042-7711
Phone
(410) 997-0037
Fax
(410) 997-3510
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 03082 MD Primary

Addresses

Primary practice location

5086 Dorsey Hall Dr Ste 106
Ellicott City, MD 21042-7711

Mailing address

14708 Carriage Mill Rd
Woodbine, MD 21797-8338
Phone (410) 489-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1336705243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14708 CARRIAGE MILL RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978338",
            "telephone_number": "410-489-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5086 DORSEY HALL DR STE 106",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-997-0037",
            "fax_number": "410-997-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMETH",
        "first_name": "SUSAN",
        "middle_name": "MURDOCH",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "03082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.