Susan White, OT/L

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

2542 Issued in NC

Practice address

9601 Gallop LN
Bahama, NC 27503-9633

Phone

(919) 475-5648

NPI assigned

Jul 15, 2014

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.

• Innovative OT Solutions, Inc

  • Occupational Therapist
  • Bahama, NC
  • NPI 1578037909
  NPD (past) Authorized official
• Legacy Healthcare

  • Skilled Nursing Facility
  • Bahama, NC
  • NPI 1578769634
  NPD (past) Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1740697390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 GALLOP LN",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "275039633",
            "telephone_number": "919-475-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 GALLOP LN",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "275039633",
            "telephone_number": "919-475-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NC",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Niles, LCAS, LCSW
• Mary Elizabeth Nunes, MPT
• Rebecca J Sheffield, MS, CCC-SLP
• US Diabetic Supply, Inc
• Darnella Warthen
• Emily D. Wilkie, SLP

• Neurorehabilitation Occupational Therapist in Bahama, NC
• Providers in Bahama, NC by specialty
• Neurorehabilitation Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.