Susan C Milam, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056000312 Issued in IL

Practice address

2 Sunset Hills Professional Ctr
Edwardsville, IL 62025-3760

Phone

(618) 692-4280

Fax

(618) 692-9730

NPI assigned

Jul 8, 2006

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

Other identifiers 2

Other names 1

• Susan C Osterhus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gateway Rehabilitation Company, LLC

  • Physical Therapist
  • East Alton, IL
  • NPI 1093771883
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1417980129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-651-0444",
            "fax_number": "618-654-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUNSET HILLS PROFESSIONAL CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253760",
            "telephone_number": "618-692-4280",
            "fax_number": "618-692-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056000312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "745330",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00319532",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "OSTERHUS",
            "middle_name": "C",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael E Beatty, M.D., P.C. (Southwestern Illinois Plastic & Hand Surgery)
• Michelle Hoover Ms Management (Michelle Hoover)
• Clarice Isabella Mick, BEHAVIORA TECHNICIAN
• Brittney Anne Mihalich
• Vessela Miladinova, MPH, BSN, RN
• Lucas Milan
• Amber Jo Miller, DC
• Caleb Lee Miller
• Lisa Anne Miller, OTR/L
• Glenda Mills

• Occupational Therapist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.