Suzanna Walter, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTLP10167 Issued in CA

Practice address

2466 S Bascom Ave Apt 3
Campbell, CA 95008-4342

Phone

(206) 873-2540

NPI assigned

Mar 13, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Essential Rehab Solutions LLC

  • Physical Therapy Clinic/Center
  • Lafayette, LA
  • NPI 1326616798
  NPD

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1356977003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 S BASCOM AVE APT 3",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084342",
            "telephone_number": "206-873-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 S BASCOM AVE APT 3",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084342",
            "telephone_number": "206-873-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "SUZANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OTLP10167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "connect to secure EMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2466 S Bascom Ave Apt 3",
            "city": "Campbell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950084342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Lisa Ann Walker-Vischer, RN, CNS
• Dana Walker
• Damien Wallace
• Kayla Wallace, BCBA
• Mary Jean Walton
• Mary R. Waltz, M.A.
• Lawrence K Wan, O.D.
• Wang Chiropractic
• Isaac Wang

• Occupational Therapist in Campbell, CA
• Providers in Campbell, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.