Active NPI
Suzanna Ladonna Ewing, OT WV 1319
- Occupational Therapist
- Ravenswood, WV
National Provider Identifier
1689102253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1319
- Practice address
- 200 S Ritchie Ave
Ravenswood, WV 26164-1721 - Phone
- (304) 273-9385
- NPI assigned
- May 26, 2017
- 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 | 6741 | OH | |
| Occupational Therapist | 225X00000X | 1319 | WV | Primary |
Addresses
Primary practice location
200 S Ritchie Ave
Ravenswood, WV 26164-1721
Mailing address
295 Wright St
Pomeroy, OH 45769-1008
Other names 1
- Miss Suzanna Ladonna Henderson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sewing155899@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6741 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1689102253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 WRIGHT ST",
"city": "POMEROY",
"state": "OH",
"postal_code": "457691008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S RITCHIE AVE",
"city": "RAVENSWOOD",
"state": "WV",
"postal_code": "261641721",
"telephone_number": "304-273-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "SUZANNA",
"middle_name": "LADONNA",
"name_prefix": "Mrs.",
"credential": "OT WV 1319",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "6741",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1319",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sewing155899@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Pinnell St",
"city": "Buckhannon",
"state": "WV",
"country_code": "US",
"postal_code": "262012218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SUZANNA",
"last_name": "HENDERSON",
"middle_name": "LADONNA",
"prefix": "MISS",
"credential": "PTA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ravenswood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.