Susan Elizabeth Dyer, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1700076 Issued in KS

Practice address

7620 Metcalf Avenue
Suite M
Overland Park, KS 66204-2996

Phone

(913) 383-9014

Fax

(913) 383-9015

NPI assigned

Dec 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Susan Elizabeth Martin Other name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Childrens Therapy Group Inc

  • Speech-Language Pathologist
  • Overland Park, KS
  • NPI 1104902337

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770645616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 METCALF AVENUE",
            "address_2": "SUITE M",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042996",
            "telephone_number": "913-383-9014",
            "fax_number": "913-383-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 METCALF AVENUE",
            "address_2": "SUITE M",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042996",
            "telephone_number": "913-383-9014",
            "fax_number": "913-383-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "1700076",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "OC001499",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21222019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "701215",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MARTIN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Durrie Vision, PA
• Daniel S Durrie, MD
• Kathryn Anne Duvenci, OTR
• Krystle Dwyer, PMHNP-BC
• Cassidi Dye, LMLP
• Hayley Nicole Dykes
• Jordan Andrew Dykstra, MD
• Dymi Medical Supply
• Dynamic Athletics Health & Performance Institute LLC
• Dynamic Spine Inst LLC (Dynamic Spine Institute)

• Pediatric Occupational Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pediatric Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.