Abigale Rose Such, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1209 Westover Dr Unit 3
Palatka, FL 32177-5397

Phone

(386) 325-2249

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Arc Jacksonville, Inc.Group PAC ID 4183096100, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Arc Jacksonville, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1558563619
  Medicare reassignment Care Compare group NPD
• The Arc of Putnam County,Inc

  • Community/Behavioral Health Agency
  • Palatka, FL
  • NPI 1831337328

  Occupational Therapist

  Medicare reassignment NPD
• Clay Physical Therapy PA

  • Physical Therapist
  • Orange Park, FL
  • NPI 1902075914
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1497351100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ALTA ST APT 1308",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841048",
            "telephone_number": "865-804-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 WESTOVER DR UNIT 3",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775397",
            "telephone_number": "386-325-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCH",
        "first_name": "ABIGALE",
        "middle_name": "ROSE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "asuch@arcputnam.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1209 Westover Dr Unit 3",
            "city": "Palatka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321775397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Starr, LMT
• Stephen L. Beckett, DDS, PA
• Alice A. Stephens, L.C.S.W.
• Joseph Dean Stillword, MD
• John Sanders Stoltz, M.D.
• Harold Hayes Sullivan Jr., MD, MPH
• Joseph Wynn Sullivan, D.O.
• Sunrise Primary Care Inc
• Sunrise Primary Care Inc
• Siva Suryadevara, M.D.

• Occupational Therapist in Palatka, FL
• Providers in Palatka, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.