Marie Suzanne Tutterow, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7516 Issued in TN

Practice address

2700 S Roan St
Johnson City, TN 37601-7556

Phone

(317) 460-9664

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1912610247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E 8TH AVE APT 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013478",
            "telephone_number": "317-460-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017556",
            "telephone_number": "317-460-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTEROW",
        "first_name": "MARIE",
        "middle_name": "SUZANNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BOARD OF HEALTH",
            "identifier": "7516",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.