Sue Ann Wimmer, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

418863 Issued in OR

Practice address

3878 Beverly Ave NE
BLDG H Suite 11
Salem, OR 97305-1394

Phone

(503) 576-4528

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1952679656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 BEVERLY AVE NE",
            "address_2": "BLDG H SUITE 11",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051394",
            "telephone_number": "503-576-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 BEVERLY AVE NE",
            "address_2": "BLDG H SUITE 11",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051394",
            "telephone_number": "503-576-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "SUE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "418863",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "OR",
            "license": "418863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Elaine Wilson, RDH
• Steven John Wilson, PHD
• Tamara Jean Wilson, WHNP-BC, CNM
• Thomas A Wilson, MD
• Webb Clanton Wilson, DO
• Holly Winans
• Altairia Windamere, RN
• Elizabeth Maryann Windell, D.O.
• Gail Renee Winden, M.S. LPC. NCC
• Donald Edwin Winder Jr., PA

• Mental Health Occupational Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.