Active NPI
Susan Paris, OT
- Occupational Therapist
- Mobile, AL
National Provider Identifier
1891734976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0163
- Practice address
- 3421 Medical Park Dr
Two Medical PK
Mobile, AL 36693-3330 - Phone
- (251) 665-8200
- Fax
- (251) 665-8210
- NPI assigned
- Jun 5, 2006
- 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 | 0163 | AL | Primary |
Addresses
Primary practice location
3421 Medical Park Dr
Two Medical PK
Mobile, AL 36693-3330
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 470-5842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51533606 | Other | AL | BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0163 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama Health Services Foundation | Past | Accepting new patients | |
| University of South Alabama Health Services Foundation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1548357916
-
- Durable Medical Equipment & Medical Supplies
- Mobile, AL
- NPI 1649354143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1891734976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40480",
"city": "MOBILE",
"state": "AL",
"postal_code": "366400480",
"telephone_number": "251-470-5842",
"fax_number": "251-470-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 MEDICAL PARK DR",
"address_2": "TWO MEDICAL PK",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933330",
"telephone_number": "251-665-8200",
"fax_number": "251-665-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIS",
"first_name": "SUSAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "0163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51533606",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.