SUSAN WYNN ROLDAN (NPI# 1639117971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639117971 |
| Entity Type | Individual |
| Full Name | SUSAN WYNN ROLDAN |
| Other Name | SUSAN WYNN GLOVER |
| Credential | OT |
| Practice Address |
3790 Pleasant Hill Rd Ste 100 Duluth GA 30096-5143 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 7704974228 |
| Practice Fax Number | 7704974474 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4233628684 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT001775 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3988 Stovall Ter Ne, Atlanta, GA 303423931 | 4048167555 |
| Street Address |
3790 PLEASANT HILL RD STE 100 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083666903 | Benchmark Physical Therapy, Inc | Clinic/Center | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2006-05-17 |
| 1851942924 | Yoonjeong Lee | Physical Therapist | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2019-09-20 |
| 1922654128 | Grace Alexandra Kenney | Physical Therapist | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2019-08-13 |
| 1689140162 | Nikita M Patel | Physical Therapist | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2018-10-22 |
| 1285126441 | Mary Anna Caldwell | Physical Therapist | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2018-06-04 |
| 1114416526 | Hannah Beauvais Murphy | Occupational Therapist | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2018-05-02 |
| 1528571163 | Connor Robert Bell | Physical Therapy Assistant | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| 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 |
|---|---|---|---|---|
| 1427662105 | Superior Therapy Solution LLC | Occupational Therapist | 1730 New St, Duluth, MN 55806-2114 | 2020-09-01 |
| 1083235725 | Nirali Girish Shah | Occupational Therapist | 1843 Shenley Park Ln, Duluth, GA 30097-4922 | 2020-05-05 |
| 1972132603 | Bingham Adult Therapy Services | Occupational Therapist | 3628 Satellite Blvd Unit 957746, Duluth, GA 30095-0469 | 2020-04-04 |
| 1790313930 | Hannah Ehling | Occupational Therapist | 114 S 20th Ave W Ste A, Duluth, MN 55806-3526 | 2020-04-01 |
| 1528525011 | Katie Loeffler | Occupational Therapist | 1711 London Rd Apt 4, Duluth, MN 55812-2098 | 2019-02-21 |
| 1336610203 | Britta L Vannatta | Occupational Therapist | 3826 W 5th St, Duluth, MN 55807-1610 | 2018-12-17 |
| 1316454127 | Sarah Ann Stansfield | Occupational Therapist | Essentia Health St. Marys Medical Center, 407 East Third Street, Duluth, MN 55805-1950 | 2018-01-02 |
| 1497127013 | Peggy Gurock | Occupational Therapist | 4500 Satellite Blvd., Suite 2250, Duluth, GA 30096 | 2015-10-22 |
| 1841694080 | Partha Bhanja | Occupational Therapist | 8770 Glasgow Pointe, Duluth, GA 30097-6606 | 2014-10-17 |
| 1649685017 | Natalya Nektalov | Occupational Therapist | 414 Clark Ct, Duluth, MN 55811-5002 | 2014-06-24 |
| Find all providers in DULUTH | ||||
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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.