Suzette Alene Mathes, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32000108A Issued in IN

Practice address

12083 Lenover St
Dillsboro, IN 47018

Phone

(812) 432-5226

Fax

(812) 432-5286

NPI assigned

Jun 30, 2010

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

• Suzette Alene Bean Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1699086066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12083 LENOVER ST",
            "city": "DILLSBORO",
            "state": "IN",
            "postal_code": "47018",
            "telephone_number": "812-432-5226",
            "fax_number": "812-432-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12083 LENOVER ST",
            "city": "DILLSBORO",
            "state": "IN",
            "postal_code": "47018",
            "telephone_number": "812-432-5226",
            "fax_number": "812-432-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHES",
        "first_name": "SUZETTE",
        "middle_name": "ALENE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32000108A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "BEAN",
            "middle_name": "ALENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamma R Kelly
• Landing Spot Counseling, LLC (Landing Spot Counseling)
• Amber N Lang, PTA
• Lifetime Resources, Inc.
• Major Hospital (The Waters of Dillsboro-Ross Manor)
• Terriann Lorraine Medina, CAPRC
• Madison Oesterling
• Rodelio U Palao
• Christina M Powers, MT
• Randall P Leduc, MD, PC

• Occupational Therapy Assistant in Dillsboro, IN
• Providers in Dillsboro, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.