Individual provider Active NPI

Susan Katherine Walters, OTR/L

  • Occupational Therapist
  • Mason, OH
National Provider Identifier
1679523013
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05890 Issued in OH
Practice address
5059 Village Green Dr
Mason, OH 45040-5691
Phone
(513) 573-9027
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05890 OH Primary

Addresses

Primary practice location

5059 Village Green Dr
Mason, OH 45040-5691

Mailing address

5059 Village Green Dr
Mason, OH 45040-5691
Phone (513) 573-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130001174 OH Practitioner - Occupational Therapist in Private Practice 7012972102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05890OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Apr 3, 2023 Accepting new patients
Physiotherapy Associates Inc CurrentSince Apr 3, 2023 Accepting new patients
Freiberg Orthopaedics & Sports Medicine Past Accepting new patients

Locations

2655 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 320-9131

7109 Hamilton Mason Rd
Ste A
West Chester, OH 45069
Phone (513) 759-6494

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679523013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 VILLAGE GREEN DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450405691",
            "telephone_number": "513-573-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 VILLAGE GREEN DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450405691",
            "telephone_number": "513-573-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SUSAN",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "05890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.