Susanna McKenzie George

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-047288 Issued in AZ

Practice address

10631 S 51St St Ste 1
Phoenix, AZ 85044-5225

Phone

(480) 398-4280

Fax

(480) 398-4281

NPI assigned

Oct 16, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1710769799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760218",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 S 51ST ST STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445225",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SUSANNA",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-047288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajesh George, RN
• Renae Michelle George, CPHT
• Robert Ellis George, M.D.
• Sarah George
• Simon George
• Vienna George, DO
• Yolanda Lucian George, NP
• Georgia Center of Resilience Inc.
• James E Gerace Jr., M.D.
• James Edward Gerace Sr., M.D.

• Occupational Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.