Active NPI
Susan Nam, OTR/L
- Occupational Therapist
- Rockville, MD
National Provider Identifier
1841544723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07026
- Practice address
- 14207 Alta Oaks Dr
Apt 301
Rockville, MD 20850-7417 - Phone
- (215) 620-4725
- NPI assigned
- Oct 31, 2012
- Last updated
- Oct 31, 2012
- 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 | 07026 | MD | Primary |
Addresses
Primary practice location
14207 Alta Oaks Dr
Apt 301
Rockville, MD 20850-7417
Mailing address
14207 Alta Oaks Dr
Apt 301
Rockville, MD 20850-7417
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 |
|---|---|---|---|
| 07026 | MD | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1841544723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14207 ALTA OAKS DR",
"address_2": "APT 301",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14207 ALTA OAKS DR",
"address_2": "APT 301",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507417",
"telephone_number": "215-620-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "SUSAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.