Individual provider Active NPI

Susan Jean Gedney, B.S,OTRL

  • Occupational Therapist
  • Dunedin, FL
National Provider Identifier
1740338748
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12230 Issued in FL
Practice address
300 Woodette Dr
Apt E-105
Dunedin, FL 34698-8700
Phone
(315) 576-4523
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT12230 FL Primary

Addresses

Primary practice location

300 Woodette Dr
Apt E-105
Dunedin, FL 34698-8700

Mailing address

300 Woodette Dr
Apt E-105
Dunedin, FL 34698-8700
Phone (315) 576-4523

Other identifiers 1

IdentifierTypeStateIssuer
Z131AOtherFLBCBS

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
OT12230FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1740338748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WOODETTE DR",
            "address_2": "APT E-105",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988700",
            "telephone_number": "315-576-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WOODETTE DR",
            "address_2": "APT E-105",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988700",
            "telephone_number": "315-576-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDNEY",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "credential": "B.S,OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z131A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.