Jill Suzanne Norris, MS, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

R4703 Issued in KY

Practice address

5502 Innwood Dr
Louisville, KY 40214-4204

Phone

(502) 595-7408

NPI assigned

Oct 28, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jill Suzanne Breitmeyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1679901748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 INNWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144204",
            "telephone_number": "502-595-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 INNWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144204",
            "telephone_number": "502-595-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "KY",
            "license": "R4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BREITMEYER",
            "middle_name": "SUZANNE",
            "prefix": "MS.",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Norman
• Michael Craig Norman, D.C.
• Shannon Norman, LPN
• Claire Norris, LPCC
• Cortlandt Auser Norris, APRN, FNP-C
• Katie Norris, MSN, PMHNP-BC
• Stacey Ann Norris, C.S.W.
• Tonia B Norris, CRNA
• North Dixie Medical Center PLLC
• North Shively Chiropractic, LLC

• Gerontology Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Gerontology Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.