Active NPI
Susan Cheryl Drown, COTAL
- Occupational Therapy Assistant
- Bedford, NH
National Provider Identifier
1528288271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 554
- Practice address
- 25 Ridgewood Rd
Bedford, NH 03110-6510 - Phone
- (603) 222-0306
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 554 | NH | Primary |
Addresses
Primary practice location
25 Ridgewood Rd
Bedford, NH 03110-6510
Mailing address
65 Fordway Ext
4311
Derry, NH 03038-4361
Phone (603) 216-5145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 554 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528288271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 FORDWAY EXT",
"address_2": "4311",
"city": "DERRY",
"state": "NH",
"postal_code": "030384361",
"telephone_number": "603-216-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 RIDGEWOOD RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106510",
"telephone_number": "603-222-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROWN",
"first_name": "SUSAN",
"middle_name": "CHERYL",
"name_prefix": "Mrs.",
"credential": "COTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NH",
"license": "554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.