SUSAN ANN BLACK (NPI# 1528213451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528213451 |
| Entity Type | Individual |
| Full Name | SUSAN ANN BLACK |
| Other Name | SUSAN SHIRKEY |
| Credential | OTR/L |
| Practice Address |
4408 W Walnut St Apt/suite Rogers AR 72756-9526 |
| Mailing Address |
16063 Serenity Point Ln Rogers AR 72756-8610 |
| Practice Telephone | 4792460101 |
| Mailing Telephone | 8472875109 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2015-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813687 | Susan Elizabeth Black | Licensed Vocational Nurse | 3379 S Forty Dr, Weatherford, TX 76085-8222 | 2018-12-27 |
| 1669794798 | Susan Black | Family Medicine | 12 Muskegon Shore Rd, Harpswell, ME 04079-3792 | 2010-02-16 |
| 1780834549 | Susan G Black | Nurse Practitioner | 227 Hospital Dr Ste 1, Everett, PA 15537-7019 | 2008-09-29 |
| 1366599565 | Susan E. Black Sr. | Speech-Language Pathologist | 3420 Lakeview Pkwy, Locust Grove, VA 22508-5664 | 2007-01-03 |
| 1497810386 | Susan Ann Black | Psychiatry & Neurology | 1504 Galena St, Aurora, CO 80010-2219 | 2006-12-22 |
| 1598862575 | Susan Esther Black | Marriage & Family Therapist | 2 Spring Ln, Fairfield, CA 94534-1429 | 2006-09-20 |
| 1578935409 | Susan Black | Behavioral Analyst | 13017 Artesia Blvd Ste D134, Cerritos, CA 90703-1385 | 2015-10-30 |
| 1003175183 | Susan Easton Black | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2012-05-10 |
| 1073896783 | Susan Black | Pharmacist | 326 W Lincoln Ave, Fergus Falls, MN 56537-2027 | 2011-09-20 |
| 1679696074 | Susan Gail Black | Occupational Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-04-09 |
| Street Address |
4408 W WALNUT ST APT/SUITE |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-9526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033571609 | Tori Wood | Occupational Therapy Assistant | 4408 W Walnut St, Suite 7, Rogers, AR 72756-9526 | 2016-03-23 |
| 1417335357 | Natalie Brandon Puryear | Student in an Organized Health Care Education/Training Program | 4408 W Walnut St, Rogers, AR 72756-9526 | 2015-05-12 |
| 1881002103 | Paul Thebeau | Chiropractor | 4408 W Walnut St, Ste #4, Rogers, AR 72756-9526 | 2014-07-30 |
| 1982017331 | Jillian Harrison Carroll | Speech-Language Pathologist | 4408 W Walnut St, Ste 7, Rogers, AR 72756-9526 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958421 | Anna Elizabeth Porta | Occupational Therapist | 4804 W Red Maple Ct, Rogers, AR 72758-2201 | 2019-12-04 |
| 1134696909 | Bela Pandya | Occupational Therapist | 5701 S 46th St, Rogers, AR 72758-8252 | 2018-10-30 |
| 1164929097 | Victoria Elaine Larkin | Occupational Therapist | 14000 Northdale Blvd, Rogers, MN 55374-4662 | 2018-04-08 |
| 1124480983 | Elizabeth Stock | Occupational Therapist | 23618 Carmen Ct N, Rogers, MN 55374-8791 | 2016-03-22 |
| 1669751301 | Sunnydays Therapy Inc | Occupational Therapist | 14000 Northdale Blvd Ste A, Rogers, MN 55374-4663 | 2011-08-11 |
| 1093047649 | Kelly C Yates | Occupational Therapist | 1501 Rainbow Rd, Rogers, AR 72758-1481 | 2010-02-08 |
| 1649492158 | Rebekah Grace Strickland | Occupational Therapist | 5406 S 45th Ct, Rogers, AR 72758-8311 | 2007-05-03 |
| 1184844490 | Annesa Wilkins | Occupational Therapist | 3400 N Woods Lane, Rogers, AR 72756 | 2007-04-27 |
| 1891745204 | Erica Ashley Clinton | Occupational Therapist | 1000 W Poplar St, Rogers, AR 72756-4242 | 2006-05-10 |
| 1508830183 | Darin Bell | Occupational Therapist | 3612 W Southern Hills Blvd Ste 6, Rogers, AR 72758-8231 | 2006-02-13 |
| Find all providers in ROGERS | ||||
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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.