Susan Ann Black, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4408 W Walnut St
Apt/Suite
Rogers, AR 72756-9526

Phone

(479) 246-0101

NPI assigned

Nov 19, 2008

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

Other names 1

• Susan Shirkey Former name

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1528213451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16063 SERENITY POINT LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568610",
            "telephone_number": "847-287-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 W WALNUT ST",
            "address_2": "APT/SUITE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727569526",
            "telephone_number": "479-246-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SHIRKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lainey Elizabeth Bivin
• Austin J Black, CRNA
• Marcus D Black, D.D.S.
• Randall Wayne Black, MD
• Reece Black, DPT
• Teagan Elise Blackston
• Megan Bladow
• David Blair
• Kyle Blair, MD
• Tori Blankenship

• Occupational Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.