Innovative OT Solutions, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

INNOVATIVE OT SOLUTIONS, INC

Practice address

9601 Gallop Lane
Bahama, NC 27503

Phone

(919) 475-5648

NPI assigned

Jan 18, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan B. White, OT/LNPI 1740697390

Title

President of Innovative OT Solution

Phone

(919) 475-5648

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan White, OT/L

  • Neurorehabilitation Occupational Therapist
  • Bahama, NC
  • NPI 1740697390
  NPD (past) Authorized official

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1578037909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 GALLOP LANE",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "27503",
            "telephone_number": "919-475-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 GALLOP LANE",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "27503",
            "telephone_number": "919-475-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE OT SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT OF INNOVATIVE OT SOLUTION",
        "authorized_official_telephone_number": "919-475-5648",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bahama, NC
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.