Susan Anne Freed, MOT, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT11522 Issued in FL

Practice address

25370 Fernleaf Dr
Idyllwild, CA 92549

Phone

(951) 468-4227

NPI assigned

Oct 3, 2005

Last updated

Jul 31, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1457348633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925492044",
            "telephone_number": "951-468-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25370 FERNLEAF DR",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "92549",
            "telephone_number": "951-468-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "credential": "MOT, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11522",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT11522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Marriage and Family Therapy Corp.
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• Gina Maile Drell
• DRS Dunn & Dunn
• DRS Dunn & Dunn
• Gail Harriss
• Cynthia Harlowe, RN
• Marlin Wayne Harris, PT
• Idyllwild Community Acupuncture & Bodywork, Inc. (Moving Lively)
• Idyllwild Fire Protection District

• Occupational Therapist in Idyllwild, CA
• Providers in Idyllwild, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.