SUSAN MACK (NPI# 1356596217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356596217 |
| Entity Type | Individual |
| Full Name | SUSAN MACK |
| Credential | OTR/L |
| Practice Address |
4016 Raintree Rd Suite 240 Chesapeake VA 23321-3700 |
| Practice Telephone | 7574882864 |
| Practice Fax Number | 7574884735 |
| Mailing Telephone | 7574882864 |
| Mailing Fax Number | 7574884735 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
0119004459 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004979061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790082436 | Susan L Mack | Homeopath | 6484 Ford Rd, Flowery Branch, GA 30542-2636 | 2011-02-15 |
| 1669616793 | Susan Mack | Speech-Language Pathologist | 15 Dovehill Cir, Penfield, NY 14526-1981 | 2009-04-20 |
| 1003808270 | Susan Ann Mack | Nurse Practitioner | 514 Teela Ln, Des Plaines, IL 60016-1230 | 2005-08-16 |
| 1235492356 | Susan Melissa Mack | Massage Therapist | 18407 Pacific Ave S, Spanaway, WA 98387-8374 | 2012-06-22 |
| 1093986747 | Susan Mack | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2008-03-20 |
| 1396955316 | Susan J Mack | Nurse Practitioner | 929 Stacy Burk Drive, Flora, IL 62839 | 2007-05-22 |
| 1750490538 | Susan M Mack | Physical Therapist | 1830 112th St E, Ste D, Tacoma, WA 98445-3747 | 2006-08-29 |
| Street Address |
4016 RAINTREE RD SUITE 240 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174549000 | Tidewater Therapy for Children, PC | Speech-Language Pathologist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2006-07-14 |
| 1194324962 | Rebecca Schwartzman | Behavior Technician | 4016 Raintree Rd, Chesapeake, VA 23321-3700 | 2020-10-22 |
| 1053960179 | Claire Allyson Laibstain | Assistant Behavior Analyst | 4016 Raintree Rd, Chesapeake, VA 23321-3700 | 2019-09-11 |
| 1194221473 | Kendall Buonviri | Behavioral Analyst | 4016 Raintree Rd, Chesapeake, VA 23321-3700 | 2018-04-04 |
| 1598271314 | Joi Deannia Rountree | Behavior Technician | 4016 Raintree Rd, Chesapeake, VA 23321-3700 | 2017-12-15 |
| 1518472448 | Elizabeth Fortune | Behavior Technician | 4016 Raintree Rd, Chesapeake, VA 23321-3700 | 2017-12-14 |
| 1710492640 | Destinee Monae Romein | Behavior Technician | 4016 Raintree Rd, Chesapeake, VA 23321-3700 | 2017-12-14 |
| 1457701328 | Lara Mccarter | Speech-Language Pathologist | 4016 Raintree Rd, Suite 100 A, Chesapeake, VA 23321-3700 | 2016-06-21 |
| 1649667056 | Janet Webb | Speech-Language Pathologist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2015-04-23 |
| 1851782601 | Sharon Miller | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2015-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108278 | Charlene Dismaya | Occupational Therapist | 2448 Shipyard Rd, Chesapeake, VA 23323-3905 | 2018-06-20 |
| 1629317862 | Alicia Small | Occupational Therapist | 4016 Raintree Rd # 100a, Chesapeake, VA 23321-3700 | 2013-02-07 |
| 1851924112 | Kristine Badillo Cavallacci | Occupational Therapist | 4016 Raintree Rd Ste 100a, Chesapeake, VA 23321-3700 | 2020-02-14 |
| 1275008906 | Jenna Dawn Napier | Occupational Therapist | 4016 Raintree Rd Ste 100a, Chesapeake, VA 23321-3700 | 2018-10-09 |
| 1316448996 | Lisa Owens Phillips | Occupational Therapist | 1000 Mount Pleasant Rd, Chesapeake, VA 23322-3711 | 2018-02-28 |
| 1962702712 | Suzanne Martin Eich | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2010-10-27 |
| 1558578716 | Ashley Witherspoon Franklin Light | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2007-05-17 |
| 1285657874 | Tidewater Therapy for Children, PC | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2006-07-25 |
| 1447276035 | Christy Surgeoner | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640550 | Lindsay Cowen | Occupational Therapist | 4775 21st Rd N, Arlington, VA 22207-2207 | 2020-08-18 |
| 1700403375 | Harper Lee Gensler | Occupational Therapist | 8221 Old Courthouse Rd Ste 105, Vienna, VA 22182-3839 | 2020-06-30 |
| 1912536319 | Molly Mitchell Snow | Occupational Therapist | 12836 Pennmardel Ln, Henrico, VA 23233-7684 | 2020-04-07 |
| 1821622556 | Samantha Robson | Occupational Therapist | 14115 Lovers Ln Ste 115, Culpeper, VA 22701-4158 | 2020-03-03 |
| 1275177438 | Annie Rachel Poole | Occupational Therapist | 2301 Columbia Pike, Suite 125, Arlington, VA 22204 | 2019-10-31 |
| 1689233868 | Catherine Saliba Western | Occupational Therapist | 1591 Port Republic Road, Harrisonburg, VA 22801 | 2019-06-11 |
| 1265991665 | Laura Michelle Wood | Occupational Therapist | 3511 Hemingway Rd, Roanoke, VA 24014-6019 | 2019-03-15 |
| 1669940441 | Megan L Allen | Occupational Therapist | 204 Sunrise Bluff Ln, Smithfield, VA 23430-2318 | 2018-11-09 |
| 1083109144 | Thomas Steven Grunwald | Occupational Therapist | 6160 Kempsville Cir Ste 300b, Norfolk, VA 23502-3994 | 2018-06-29 |
| 1104321033 | Veronica Leigh Wiles | Occupational Therapist | 301 North 9th Street, Exceptional Education, Richmond, VA 23219 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
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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.