Individual provider Active NPI

Susan Elizabeth Drexler

  • Specialist
  • Flagstaff, AZ
National Provider Identifier
1457538225
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4210 Issued in AZ
Practice address
125 E Elm Ave
Ste 103
Flagstaff, AZ 86001-3258
Phone
(928) 779-1679
Fax
(928) 779-2822
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4210 AZ Primary

Addresses

Primary practice location

125 E Elm Ave
Ste 103
Flagstaff, AZ 86001-3258

Mailing address

125 E Elm Ave
Ste 103
Flagstaff, AZ 86001-3258
Phone (928) 779-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000155 AZ Practitioner - Occupational Therapist in Private Practice 9032364443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4210AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northland-Rural Therapy Associates, LLC Specialist CurrentSince Jan 1, 2013 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince May 31, 2022 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince May 31, 2022 Accepting new patients

Locations

125 E Elm Ave
Ste 103
Flagstaff, AZ 86001
Phone (928) 213-9730

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

2915 N 4th St
Flagstaff, AZ 86004
Phone (928) 779-1679

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

5130 N US Highway 89
Flagstaff, AZ 86004
Phone (928) 773-2054

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1457538225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE",
            "address_2": "STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679",
            "fax_number": "928-779-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE",
            "address_2": "STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679",
            "fax_number": "928-779-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREXLER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.