SUSAN GAIL BLACK


Address: 2120 Exeter Rd, Germantown, TN 38138-3922
Phone: 9016248677

SUSAN GAIL BLACK (NPI# 1679696074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679696074
Entity Type Individual
Full Name SUSAN GAIL BLACK
Credential OTR
Practice Address 2120 Exeter Rd
Germantown
TN 38138-3922
Mailing Address 1876 Snowden Ave
Rear Apt.
Memphis
TN 38107-5119
Practice Telephone 9016248677
Mailing Telephone 9012743353
Enumeration Date 2007-04-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
1461 TN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SUSAN BLACK

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
1528213451 Susan Ann Black Occupational Therapist 4408 W Walnut St, Apt/suite, Rogers, AR 72756-9526 2008-11-19
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

Office Location

Street Address 2120 EXETER RD
City GERMANTOWN
State TN
Zip Code 38138-3922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649275058 Frank A Ognibene Podiatrist 2120 Exeter Rd, Ste 220, Germantown, TN 38138-3918 2005-06-14
1922388206 Seung-jae Texas Song Podiatrist 2120 Exeter Rd, Ste 220, Germantown, TN 38138-3964 2011-08-18
1861645392 Darrell G. Croft, Dpm Podiatrist 2120 Exeter Rd, Suite 200, Germantown, TN 38138-3964 2008-10-28
1518115708 Baptist Memorial Medical Group Inc Physical Medicine & Rehabilitation 2120 Exeter Rd, Suite 240, Germantown, TN 38138-3964 2008-09-03
1790975902 Ognibene Clinics Podiatrist 2120 Exeter Rd, Suite 220, Germantown, TN 38138-3964 2007-07-25
1841410370 Leanna Nikole Simmons Occupational Therapist 2120 Exeter Rd, Germantown, TN 38138-3922 2007-04-26
1427274711 Alicia Ann Wass Speech-Language Pathologist 2120 Exeter Rd, Suite 110, Germantown, TN 38138-3922 2007-04-17
1396862355 Mary Anne Jenkins Physical Therapist 2120 Exeter Rd, Germantown, TN 38138-3922 2007-03-23
1114953239 Memphis Spine Center Specialist 2120 Exeter Rd, Suite 130, Germantown, TN 38138-3922 2006-06-23
1619926508 Terry Paul Templeton Otolaryngology 2120 Exeter Rd, Suite 210, Germantown, TN 38138-3922 2006-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790382281 Bluff Medical Group Nurse Practitioner 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 2020-10-07
1689293797 Diana Bryn Manning Dietitian, Registered 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 2020-04-09
1386102796 Moscow Group LLC Pharmacy 2013 Exeter Rd, Germantown, TN 38138 2019-03-05
1952811010 Select Counselor 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 2017-10-03
1033638994 901 Physical Therapy, Pllc Physical Therapist 2495 Regents Walk, Germantown, TN 38138 2017-09-12
1124552401 Elite Dental Germantown Plc Dentist 9064 Corporate Gradens Drive, Germantown, TN 38138 2017-04-13
1740728880 Christian C Haynes Nurse Anesthetist, Certified Registered 1900 Exeter Rd., Suite 210, Germantown, TN 38138 2017-02-09
1740644004 Kimberly Brooke Scheidegger Counselor 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 2016-04-12
1427411644 Jimmy Tam Tran Internal Medicine 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 2016-04-04
1952761876 Jane Chin Wynn Yeoh Orthopaedic Surgery 1400 South Germantown Road, Germantown, TN 38138 2016-03-04
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

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:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528236361 Maryann Landise Skoda Occupational Therapist 9282 Ingleside Farm N, Germantown, TN 38139-6719 2008-02-14
1558559617 David Dion Hayes Occupational Therapist 1643 Brierbrook Rd, Germantown, TN 38138-2312 2007-10-12
1023230091 Janet Schnabel Occupational Therapist 13014 Rosebay Drive, Germantown, MD 20874-3981 2007-05-02
1710145784 Pediatric Rehab Services, PC Occupational Therapist 9282 Ingleside Farm N, Germantown, TN 38139-6719 2008-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871107359 Homegrown Pediatric Therapy, LLC Occupational Therapist 116 Cumberland St., Wartburg, TN 37887-3788 2020-09-02
1174131379 Karla Bull Occupational Therapist 20 Executive Park Dr, Hendersonville, TN 37075-3450 2020-07-14
1447886122 Villages Child Development, LLC Occupational Therapist 1766 Mayflower Dr, Columbia, TN 38401-5191 2020-03-13
1558906016 Jennifer Pearson Occupational Therapist 2200 Childrens Way # B318, Nashville, TN 37232-0005 2019-11-08
1568929107 Flip for Function, Pllc Occupational Therapist 104 Centennial Cir, Nashville, TN 37209-1064 2019-03-01
1962967364 Grace Pitts Occupational Therapist 204 Harnett Ct Ste C, Clarksville, TN 37043-2066 2019-02-10
1780154591 Amanda Brooke Baker I Occupational Therapist 1607 Jefferson St, Chattanooga, TN 37408-2127 2018-12-05
1679060180 Teresa Altona Everhart Occupational Therapist 310 Browning Rd, Nashville, TN 37211-2608 2018-04-19
1477040004 Grace Elizabeth Powell Occupational Therapist 1400 Mccallie Ave Ste 100, Chattanooga, TN 37404-2927 2018-04-19
1063916476 Heather Kavanaugh Winters Occupational Therapist 719 Thompson Ln Ste 21000, Nashville, TN 37204-4689 2018-03-20
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Competitor

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City GERMANTOWN
Zip Code 38138

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Dataset Information

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.

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