Susan Gallagher, OTR/L,CLT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

U1-0012343 Issued in DE

Practice address

21111 Arrington Dr
Selbyville, DE 19975-3607

Phone

(302) 436-0808

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1487303574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25192 SALTWATER CIR",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753570",
            "telephone_number": "215-499-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21111 ARRINGTON DR",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753607",
            "telephone_number": "302-436-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36101 Seaside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199716165",
            "country_code": "US",
            "telephone_number": "302-226-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "SUSAN",
        "credential": "OTR/L,CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "DE",
            "license": "U1-0012343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Rehabilitation Occupational Therapist in Selbyville, DE
• Providers in Selbyville, DE by specialty
• Physical Rehabilitation Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.