Individual provider Active NPI

Susan Latshaw Jones, OT

  • Occupational Therapist
  • Portland, ME
National Provider Identifier
1689732539
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4376 Issued in ME
Practice address
959 Congress St, Suite 1
Portland, ME 04102-2715
Phone
(207) 699-5600
Fax
(207) 699-5588
NPI assigned
Dec 4, 2006
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2495 AL
Occupational Therapist 225X00000X OT4376 ME Primary

Addresses

Primary practice location

959 Congress St, Suite 1
Portland, ME 04102-2715

Mailing address

163 School St Apt C
Berwick, ME 03901
Phone (205) 356-2629

Other identifiers 1

IdentifierTypeStateIssuer
2495OtherALOT LICENSE

Other names 1

  • Susan Margaret Latshaw Former name

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

LicenseStateTypeSpecialty
OT4376MEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Think Tank Hyperbarics CurrentSince Jul 13, 2025 Accepting new patients
Midsouth a Gentiva Company Past Accepting new patients

Locations

959 Congress St
#1
Portland, ME 04102
Phone (207) 699-5600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1689732539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SCHOOL ST APT C",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "03901",
            "telephone_number": "205-356-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 CONGRESS ST, SUITE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022715",
            "telephone_number": "207-699-5600",
            "fax_number": "207-699-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SUSAN",
        "middle_name": "LATSHAW",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2495",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "2495",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LATSHAW",
            "middle_name": "MARGARET",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.