Susan M Lance, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

04798 Issued in OH

Practice address

913 Southerly Rd
#433
Towson, MD 21204-2639

Phone

(440) 413-8351

NPI assigned

Nov 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Susan M Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1992072102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SOUTHERLY RD",
            "address_2": "#433",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042639",
            "telephone_number": "440-413-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SOUTHERLY RD",
            "address_2": "#433",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042639",
            "telephone_number": "440-413-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "04798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992072102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "NELSON",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanya Lafalaise, CPRP
• Sue Ellen Lafountain, PH.D.
• Nirmala Lall, MS, LD, RD
• Matthew Norman Lamare, DVM
• Becky Lynn Lammers, MS, CCC/SLP
• Melissa Emerson Lancer, MD
• Emily Caitlin Landgraf
• Mark Douglas Landis, PSY.D.
• Megan Landy, M.S., CCC-SLP
• Eric J Lane, PSY.D., PA

• Occupational Therapy Assistant in Towson, MD
• Providers in Towson, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.