Susan Prince

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9616 Issued in NC

Practice address

1016 2ND Ave N Ste 102
North Myrtle Beach, SC 29582-3287

Phone

(910) 840-9093

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sprince652588@direct.novanthealth.org

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.

• Oceanside Pediatric Therapy Services, LLC

  • Pediatric Occupational Therapist
  • North Myrtle Beach, SC
  • NPI 1417505926

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1407349483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 102",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823287",
            "telephone_number": "910-840-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 102",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823287",
            "telephone_number": "910-840-9093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 Main St",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "28470",
            "country_code": "US",
            "telephone_number": "910-721-3150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-05-25",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "4605",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sprince652588@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "4503 Main St",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Leanne Poplin, APRN
• Dorothy Estelle Powell, APRN, FNP-BC
• Montgomery Calbert Prescod, PHD, NCC, BC-TMH
• Preventative Health NP in Family Health LLP
• Stephen Koty Price, AA-C
• Proactive MD,SC,P.a.
• Professional Health Consultants
• Professional Pharmacy Services, Inc
• Progressive Physical Therapy, PA
• Publix Super Markets Inc

• Occupational Therapist in North Myrtle Beach, SC
• Providers in North Myrtle Beach, 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 25, 2021; 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.