Susan Marie Lick, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004027A Issued in IN

Practice address

6100 Miller Ave
Gary, IN 46403-2469

Phone

(219) 427-0196

NPI assigned

Mar 11, 2020

Sex

Female

Sole proprietor

No

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

Locations

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.

• Restore Therapy Services LLC

  • Occupational Therapist
  • Gary, IN
  • NPI 1932494424
  NPD
• Next Level Therapeutic Services LLP

  • Physical Therapist
  • Gary, IN
  • NPI 1609068808
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1730714650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 W 165TH AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463569337",
            "telephone_number": "219-951-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MILLER AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032469",
            "telephone_number": "219-427-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICK",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004027A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Lewis
• Hope Lewis
• Jacquetta Lewis
• Paul Eugene Lewis I
• Tonia Lewis
• Life Service Professional Corp
• Lighthouse Academies Inc
• Lighthouse Academies of Indiana, Inc.
• Linda T Stewart MD LTD
• Michael A Linton, MD

• Occupational Therapist in Gary, IN
• Providers in Gary, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.