Individual provider Active NPI

Susan A. Emerson, OTR, CHT, CEES

  • Occupational Therapist
  • York, ME
National Provider Identifier
1356590947
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
97 Issued in NH
Practice address
41 Brixham Rd.
York, ME 03909
Phone
(207) 351-3175
Fax
(207) 351-3175
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 97 NH Primary
Occupational Therapist 225X00000X 150 ME
Ergonomics Occupational Therapist 225XE1200X 97 NH
Hand Occupational Therapist 225XH1200X 97 NH

Addresses

Primary practice location

41 Brixham Rd.
York, ME 03909

Mailing address

41 Brixham Rd.
PO Box 627
York, ME 03909
Phone (207) 351-3175

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

State licenses

LicenseStateTypeSpecialty
150MEMDOccupational Therapist
97NHMDHand Occupational Therapist
0097NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Past Accepting new patients
Abilities Rehabilitation Center, LLC PastSince Nov 18, 2002 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1356590947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BRIXHAM RD.",
            "address_2": "PO BOX 627",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-351-3175",
            "fax_number": "207-351-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BRIXHAM RD.",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-351-3175",
            "fax_number": "207-351-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "SUSAN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "OTR, CHT, CEES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "97",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "150",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NH",
            "license": "97",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NH",
            "license": "97",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.