Individual provider Active NPI

Susan Liebross, O.T.

  • Pediatric Occupational Therapist
  • Frenchtown, NJ
National Provider Identifier
1811243439
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00038000 Issued in NJ
Practice address
20 Bridge St
Frenchtown, NJ 08825-1227
Phone
(908) 581-6257
NPI assigned
Aug 1, 2012
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00038000 NJ
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 46TR00038000 NJ
Neurorehabilitation Occupational Therapist 225XN1300X 46TR00038000 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00038000 NJ Primary

Addresses

Primary practice location

20 Bridge St
Frenchtown, NJ 08825-1227

Mailing address

1170 County Road 519
Frenchtown, NJ 08825-4151
Phone (908) 581-6257

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
46TR00038000NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Liebross, LLC Occupational Therapist CurrentSince Mar 11, 2025 Accepting new patients

Locations

20 Bridge St
Frenchtown, NJ 08825
Phone (908) 581-6257

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

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1811243439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 COUNTY ROAD 519",
            "city": "FRENCHTOWN",
            "state": "NJ",
            "postal_code": "088254151",
            "telephone_number": "908-581-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRIDGE ST",
            "city": "FRENCHTOWN",
            "state": "NJ",
            "postal_code": "088251227",
            "telephone_number": "908-581-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBROSS",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00038000",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NJ",
            "license": "46TR00038000",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR00038000",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00038000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frenchtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.