Active NPI
Susan Ross, OTR/L
- Occupational Therapist
- Bedford, MA
National Provider Identifier
1659711810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3746
- Practice address
- 1 Benjamin Kidder LN
Bedford, MA 01730-1648 - Phone
- (781) 275-0810
- NPI assigned
- Jul 2, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3746 | MA | Primary |
| Occupational Therapist | 225X00000X | OT 000347 | GA |
Addresses
Primary practice location
1 Benjamin Kidder LN
Bedford, MA 01730-1648
Mailing address
1 Benjamin Kidder LN
Bedford, MA 01730-1648
Phone (781) 275-0810
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 |
|---|---|---|---|
| OT 000347 | GA | MD | Occupational Therapist |
| 3746 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1659711810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BENJAMIN KIDDER LN",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301648",
"telephone_number": "781-275-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BENJAMIN KIDDER LN",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301648",
"telephone_number": "781-275-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SUSAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "3746",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT 000347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.