Active NPI
Susan Diane Bishop, MSTRS/CKT
- Recreation Therapist
- Edmond, OK
National Provider Identifier
1376730077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 2835 Bobwhite TRL
Edmond, OK 73025-2305 - Phone
- (405) 623-4017
- NPI assigned
- Sep 27, 2007
- Last updated
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary | ||
| Kinesiotherapist | 226300000X |
Addresses
Primary practice location
2835 Bobwhite TRL
Edmond, OK 73025-2305
Mailing address
2835 Bobwhite TRL
Edmond, OK 73025-2305
Phone (405) 623-4017
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1376730077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 BOBWHITE TRL",
"city": "EDMOND",
"state": "OK",
"postal_code": "730252305",
"telephone_number": "405-623-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 BOBWHITE TRL",
"city": "EDMOND",
"state": "OK",
"postal_code": "730252305",
"telephone_number": "405-623-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "SUSAN",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "MSTRS/CKT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
- Abigail Billen, CCC-SLP
- Billie L. Burke, M.a., L.P.C., P.C.
- Ronald Keith Billman, DDS, MS
- Joseph F Binkley Sr., DC
- Bio-Medical Applications of Oklahoma, Inc. (Fresenius Medical Care Edmond East)
- Lyndsy Michelle Bitzer, LPC
- Chelsea Bixler, NURSE PRACTITIONER
- BKD Bradford Village Opco LLC (Bradford Village)
- Brylee Black
- Katherine Black
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.