SUSAN MCCOOL (NPI# 1922633700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922633700 |
| Entity Type | Individual |
| Full Name | SUSAN MCCOOL |
| Credential | CTRS |
| Practice Address |
125 Ne Camelia Way Madison FL 32340-4158 |
| Practice Telephone | 8502906289 |
| Mailing Telephone | 8502906289 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
125 NE CAMELIA WAY |
| City | MADISON |
| State | FL |
| Zip Code | 32340-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174686844 | Louise Joyce | Recreation Therapist | 202 S Park St, Madison, WI 53715-1507 | 2006-12-18 |
| 1275603730 | Kristine L Kravik | Recreation Therapist | 600 Highland Ave, Mc 2424, Madison, WI 53792-0001 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971762 | Maribel Delia Bracke | Recreation Therapist | 1601 Sw Archer Rd # 117c, Gainesville, FL 32608-1135 | 2020-08-03 |
| 1326656760 | Alyssa Kociba | Recreation Therapist | 13000 Bruce B Downs Blvd # 117, Tampa, FL 33612-4745 | 2020-07-22 |
| 1629698048 | Marianne Kocur | Recreation Therapist | 509 Falls of Venice Cir, Venice, FL 34292-3946 | 2020-04-26 |
| 1689200214 | Tracy Eckert | Recreation Therapist | 1332 Pasadena Ave S Apt 408, S Pasadena, FL 33707-3747 | 2020-03-15 |
| 1891342101 | Stefan C.m. Wickli | Recreation Therapist | 1810 Nw 23rd Blvd Apt 263, Gainesville, FL 32605-3062 | 2019-08-21 |
| 1518462019 | Melina Margarita Rojas | Recreation Therapist | 10444 Nw 8th St Apt 104, Pembroke Pines, FL 33026-5982 | 2018-03-27 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1740720556 | Bertha Diaz | Recreation Therapist | 530 Ne 15th Ct, Apt. 5, Fort Lauderdale, FL 33304-1166 | 2017-02-27 |
| 1649630286 | Kelly Lauren Krazit | Recreation Therapist | 4961 Se 17th St, Ocala, FL 34471-5735 | 2016-02-24 |
| 1134588924 | Matthew Evers | Recreation Therapist | 3383 Aqua Ridge Way, Tallahassee, FL 32309 | 2016-02-22 |
| Find all providers with the same taxonomy | ||||
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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.