Susan Jane Clow, COTA/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6954 Issued in AZ

Practice address

800 W University Ave
Flagstaff, AZ 86001-7103

Phone

(928) 779-6931

NPI assigned

Jun 29, 2017

Last updated

Jun 29, 2017By the provider in NPPES

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

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1346761319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S WHITE DOVE TRL",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851397229",
            "telephone_number": "480-707-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W UNIVERSITY AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017103",
            "telephone_number": "928-779-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOW",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E Clements, CNM, RN
• Christin S Clendaniel, PT, DPT
• Gabrielle Cler, ATC
• Travis Jason Clevy
• Susann Ann Clinton, FNP
• Laurice P Coats, MD
• Lydia Louise Cockayne, RDH
• Coconino County
• Coconino County Health Department
• Coconino County Health Department

• Occupational Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.