Active NPI
Susan Cole, OTR/L
- Occupational Therapist
- Fuquay Varina, NC
National Provider Identifier
1689735037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2363
- Practice address
- 5017 Wheatridge Dr
Fuquay Varina, NC 27526-9069 - Phone
- (919) 552-7805
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2363 | NC | Primary |
Addresses
Primary practice location
5017 Wheatridge Dr
Fuquay Varina, NC 27526-9069
Mailing address
5017 Wheatridge Dr
Fuquay Varina, NC 27526-9069
Phone (919) 552-7805
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Therapy Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Assisted Living Facility
- Fuquay Varina, NC
- NPI 1801955208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1689735037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 WHEATRIDGE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275269069",
"telephone_number": "919-552-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5017 WHEATRIDGE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275269069",
"telephone_number": "919-552-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "SUSAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "2363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.