Shannon Ward Suter, MS,OTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005198A Issued in IN

Practice address

11802 Brinley Ave
Suite 100
Louisville, KY 40243-1089

Phone

(502) 244-1210

NPI assigned

Jan 17, 2012

Last updated

May 12, 2015By the provider in NPPES

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

Other names 1

• Miss Shannon Therese Ward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Children's Therapy Center, PSC

  • Occupational Therapist
  • Louisville, KY
  • NPI 1003849639
  NPD (past)

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1770854135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 LAKE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402063307",
            "telephone_number": "314-346-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 BRINLEY AVE",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431089",
            "telephone_number": "502-244-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTER",
        "first_name": "SHANNON",
        "middle_name": "WARD",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005198A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WARD",
            "middle_name": "THERESE",
            "prefix": "MISS",
            "credential": "MS,OTR/L, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan B Tate MD PA
• Susan B Tate MD PSC
• Susan E. Janocik M.D., PLLC
• Susan Raghavan, MD (Childrens Diabetes and Endocrinology)
• Alexa Suter
• Curtis James Sutera
• Carl C Sutherland, RPH
• Jennie B Sutherland
• Michael W Sutkamp, M.D.
• Sara W Sutphin, M.ED., LPP

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.