Individual provider Active NPI

Susan Marie Wiles, OTRL

  • Pediatric Occupational Therapist
  • Cumming, GA
National Provider Identifier
1801924402
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT001803 Issued in GA
Practice address
2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255
Phone
(404) 834-8404
Fax
(678) 456-3437
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT001803 GA Primary

Addresses

Primary practice location

2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255

Mailing address

5955 Shiloh Rd E Ste 205
Alpharetta, GA 30005-8375
Phone (770) 265-7625

Other practice location 1

5955 Shiloh Rd E Ste 205
Alpharetta, GA 30005-8375
Phone (404) 834-8404

Other identifiers 1

IdentifierTypeStateIssuer
000742178CMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
OT001803GAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiles Therapy Services Inc Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1801924402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 SHILOH RD E STE 205",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058375",
            "telephone_number": "770-265-7625",
            "fax_number": "678-456-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255",
            "telephone_number": "404-834-8404",
            "fax_number": "678-456-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 Shiloh Rd E Ste 205",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300058375",
            "country_code": "US",
            "telephone_number": "404-834-8404",
            "fax_number": "678-456-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILES",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT001803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000742178C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.