Active NPI
Suzanne F McGowan, OTR/L
- Occupational Therapist
- Sutton, WV
National Provider Identifier
1871763870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101
- Practice address
- 288 N Hill Rd
Sutton, WV 26601-1225 - Phone
- (304) 765-5202
- NPI assigned
- Mar 5, 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 | 101 | WV | Primary |
Addresses
Primary practice location
288 N Hill Rd
Sutton, WV 26601-1225
Mailing address
288 N Hill Rd
Sutton, WV 26601-1225
Phone (304) 765-5202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158990000 | Medicaid | WV |
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 |
|---|---|---|---|
| 101 | WV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1871763870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 N HILL RD",
"city": "SUTTON",
"state": "WV",
"postal_code": "266011225",
"telephone_number": "304-765-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 N HILL RD",
"city": "SUTTON",
"state": "WV",
"postal_code": "266011225",
"telephone_number": "304-765-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "SUZANNE",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158990000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sutton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.