Susan Maurine Olmschenk, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1419 Issued in SC

Practice address

2585 Highway 179
Little River, SC 29566-9451

Phone

(843) 279-8613

NPI assigned

Feb 4, 2010

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1376875153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM TREE LN SE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228993",
            "telephone_number": "910-262-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 HIGHWAY 179",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669451",
            "telephone_number": "843-279-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSCHENK",
        "first_name": "SUSAN",
        "middle_name": "MAURINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "2898",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301202",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Little River, SC
• Providers in Little River, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.