Susan Swyers Grogan, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

000578 Issued in MO

Practice address

2806 Flamewood Drive
St. Louis, MO 63129

Phone

(314) 339-7430

Fax

(314) 449-9173

NPI assigned

Apr 24, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Housept LLC

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1306386172
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1679061808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 FLAMEWOOD DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-339-7430",
            "fax_number": "314-449-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 FLAMEWOOD DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-339-7430",
            "fax_number": "314-449-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "SUSAN",
        "middle_name": "SWYERS",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MO",
            "license": "000578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Grodeon
• Elizabeth F. Grodsky, PH.D.
• Russell John Louis Groener, MD
• Scott D Groesch, MD
• Elizabeth Michelle Grogan
• Georgeann Keh-Teng Groh, MD
• Dorthy Ann Grohs, RN,APRN,BC
• Meghan Grojean
• Ryleigh Nicole Grommet, PA-C
• Madeline Marie Grondalski, MD

• Gerontology Occupational Therapist in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Gerontology Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.