Susan Marie Jabs

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21412 Issued in FL

Practice address

4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671

Phone

(386) 446-9935

NPI assigned

Jan 20, 2021

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

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Weston Group of South Carolina IncGroup PAC ID 2062651185, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Magnolia Memory Care, Inc.

  • Gerontology Occupational Therapist
  • Fort Mill, SC
  • NPI 1316789043
  Medicare reassignment
• The Weston Group of South Carolina Inc

  • Physical Therapist
  • Bluffton, SC
  • NPI 1073957064
  Care Compare group
• Speech Works Pediatric Therapy, LLC

  • Clinic/Center
  • Palm Coast, FL
  • NPI 1245488121

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1669062972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BICKWICK LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379363",
            "telephone_number": "609-575-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373671",
            "telephone_number": "386-446-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Fahair Iqbal, MD
• Michael Alan Isicoff, MD
• Sofond IV
• Christine M Ivankiv, MS CCC-SLP
• J & B Medical Transport LLC
• Alyssa Jackson
• Anita Dionne Jackson
• Donna Kay Jackson
• Jade Jackson, L.D.O
• Jeremy Jackson

• Occupational Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.