Individual provider Active NPI

Susan Arley Hearne, CTRS

  • Recreation Therapist
  • Troy, MI
National Provider Identifier
1376852962
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
56518
Practice address
5482 Berwyck Dr
Troy, MI 48085-3282
Phone
(248) 840-5870
NPI assigned
Sep 29, 2010
Last updated
Sep 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 56518 Primary

Addresses

Primary practice location

5482 Berwyck Dr
Troy, MI 48085-3282

Mailing address

5482 Berwyck Dr
Troy, MI 48085-3282
Phone (248) 840-5870

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1376852962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5482 BERWYCK DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853282",
            "telephone_number": "248-840-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5482 BERWYCK DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853282",
            "telephone_number": "248-840-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNE",
        "first_name": "SUSAN",
        "middle_name": "ARLEY",
        "name_prefix": "Ms.",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": "56518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.