Susan Bates
Individual provider Active NPI Occupational Therapy Assistant · Portage, IN
NPI 1891994869 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1891994869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32000314A (IN)
- Practice address
- 6040 Lute Rd
Portage, IN 46368-5008 - Phone
- (219) 763-6858
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32000314A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32000314A | IN | Yes |
Addresses
Primary practice location
6040 Lute Rd
Portage, IN 46368-5008
Mailing address
549 N 750W
Hobart, IN 46342
Phone (219) 759-2287
Other providers in Portage, IN
- Baqhar Mohideen MD, PC
- Luis A Barajas
- Danielle Barker
- Michael Barrera
- Thomas Bassetto
- Aaron M Beck
- Michael M Bermudez
- Sara Elizabeth Berry
- Better Life MD PC
- Jennifer Betts-Hudson
All providers in Portage, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.