Active NPI
Susan Mongeon, OT
- Occupational Therapist
- Bluffton, SC
National Provider Identifier
1730479338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3804
- Practice address
- 70 Buck Island Rd
Bluffton, SC 29910-6923 - Phone
- (336) 782-4108
- NPI assigned
- Apr 15, 2011
- Last updated
- Apr 15, 2011
- 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 | 3804 | SC | Primary |
Addresses
Primary practice location
70 Buck Island Rd
Bluffton, SC 29910-6923
Mailing address
70 Buck Island Rd
Bluffton, SC 29910-6923
Phone (336) 782-4108
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1730479338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BUCK ISLAND RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106923",
"telephone_number": "336-782-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BUCK ISLAND RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106923",
"telephone_number": "336-782-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGEON",
"first_name": "SUSAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.