SUSAN E FETZER (NPI# 1396395299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396395299 |
| Entity Type | Individual |
| Full Name | SUSAN E FETZER |
| Credential | COTA/L |
| Practice Address |
Upmc Susquehanna,625 West Edwin Street Williamsport PA 17701 |
| Mailing Address |
Upmc Susquehanna, 625 West Edwin Street Williamsport PA 17701 |
| Practice Telephone | 5703260565 |
| Practice Fax Number | 5703267582 |
| Mailing Telephone | 5703260565 |
| Mailing Fax Number | 5703267582 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OP003060L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083815419 | Susan Marie Fetzer | Physical Therapist | 3075 Ridge Pike, Eagleville, PA 19403 | 2007-05-31 |
| 1356467542 | Susan G Fetzer | Dietitian, Registered | 3500 Arendell St, Carteret General Hospital, Morehead City, NC 28557-2901 | 2007-03-21 |
| Street Address |
UPMC SUSQUEHANNA ,625 WEST EDWIN STREET |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| 1568872521 | Kiersten Manno | Behavioral Analyst | 709 Cambel St, Williamsport, PA 17701 | 2014-04-30 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215332150 | Tara Knight | Occupational Therapy Assistant | 128 Emery St, Williamsport, PA 17701-5531 | 2014-11-04 |
| 1639589039 | Jennifer Dudek | Occupational Therapy Assistant | 435 Dudek Rd, Williamsport, PA 17701-8522 | 2014-05-07 |
| 1568782613 | Anita Michelle Rice | Occupational Therapy Assistant | Waters of Williamsport, 200 Short St., Williamsport, IN 47993 | 2010-06-10 |
| 1386717544 | Shannon Leigh Mellott | Occupational Therapy Assistant | 154 N Artizan St, Williamsport, MD 21795-1104 | 2006-11-16 |
| 1093359713 | Randy Metzger | Occupational Therapy Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-06 |
| 1871143610 | Erica Lynn Lopez | Occupational Therapy Assistant | 625 W Edwin St, Williamsport, PA 17701-4909 | 2019-09-13 |
| 1396394482 | Erica Germini | Occupational Therapy Assistant | 625 W Edwin St, Williamsport, PA 17701-4909 | 2019-09-10 |
| 1518516665 | Jennifer Crisman | Occupational Therapy Assistant | 625 W Edwin St, Williamsport, PA 17701-4909 | 2019-09-10 |
| 1710536909 | Samantha Hendershot | Occupational Therapy Assistant | 625 W Edwin St, Williamsport, PA 17701-4909 | 2019-09-10 |
| 1154984094 | Molly Elaine Campbell | Occupational Therapy Assistant | 620 5th Ave, Williamsport, PA 17701-4764 | 2019-04-16 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.