Active NPI
Susan Gordon
- Occupational Therapist
- West Newbury, MA
National Provider Identifier
1811145477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5755
- Practice address
- 320 Main St
West Newbury, MA 01985-1420 - Phone
- (978) 363-5553
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5755 | MA | Primary |
Addresses
Primary practice location
320 Main St
West Newbury, MA 01985-1420
Mailing address
320 Main St
P. O. Box 956
West Newbury, MA 01985-1420
Phone (978) 363-5553
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5755 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1811145477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 MAIN ST",
"address_2": "P. O. BOX 956",
"city": "WEST NEWBURY",
"state": "MA",
"postal_code": "019851420",
"telephone_number": "978-363-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 MAIN ST",
"city": "WEST NEWBURY",
"state": "MA",
"postal_code": "019851420",
"telephone_number": "978-363-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "5755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Newbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.