Active NPI
Susan Misciagno, OTR
- Occupational Therapist
- Apex, NC
National Provider Identifier
1902073380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6475
- Practice address
- 1412 Fairfax Woods Dr
Apex, NC 27502-4170 - Phone
- (919) 830-0251
- NPI assigned
- May 14, 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 | 6475 | NC | Primary |
Addresses
Primary practice location
1412 Fairfax Woods Dr
Apex, NC 27502-4170
Mailing address
1412 Fairfax Woods Dr
Apex, NC 27502-4170
Phone (919) 830-0251
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 |
|---|---|---|---|
| 6475 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Low Vision Rehab Solutions, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Raleigh, NC
- NPI 1205508363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1902073380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 FAIRFAX WOODS DR",
"city": "APEX",
"state": "NC",
"postal_code": "275024170",
"telephone_number": "919-830-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 FAIRFAX WOODS DR",
"city": "APEX",
"state": "NC",
"postal_code": "275024170",
"telephone_number": "919-830-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCIAGNO",
"first_name": "SUSAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.