Susan Bault, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6059 Issued in OH

Practice address

1879 Deerfield Rd
Lebanon, OH 45036-8602

Phone

(513) 720-3301

NPI assigned

May 22, 2017

Last updated

May 22, 2017By 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)

Not enrolled

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1497282339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 HAMLIN DR",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399814",
            "telephone_number": "513-720-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 DEERFIELD RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368602",
            "telephone_number": "513-720-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAULT",
        "first_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "6059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Kay Balon
• Kelsey L Baltzer, MPT
• Brittany Banks
• Bobbie Barnett
• Grant Thomas Bartee, P.E.
• Jeffrey Sumner Baxter, DDS
• Baymark Health Services of Ohio, Inc. (MedMark Treatment Centers Lebanon)
• Kamila Bayramzade
• Lindsay Bays, LSW
• Latisha M Bazin

• Occupational Therapist in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.