Active NPI
Susan C Wade, O.T.
- Occupational Therapist
- Towson, MD
National Provider Identifier
1851531032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 02390
- Practice address
- 7401 Osler Dr
Suite 110
Towson, MD 21204-7673 - Phone
- (410) 296-8888
- Fax
- (410) 296-6745
- NPI assigned
- Feb 27, 2009
- 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 | 02390 | MD | Primary |
Addresses
Primary practice location
7401 Osler Dr
Suite 110
Towson, MD 21204-7673
Mailing address
2720 Loch Haven Dr
Ijamsville, MD 21754-8822
Phone (301) 653-4810
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 |
|---|---|---|---|
| 02390 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1851531032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 LOCH HAVEN DR",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217548822",
"telephone_number": "301-653-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 OSLER DR",
"address_2": "SUITE 110",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047673",
"telephone_number": "410-296-8888",
"fax_number": "410-296-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "SUSAN",
"middle_name": "C",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "02390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.