Susan Craven, OT
Occupational Therapist in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1508102286
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1508102286
- Entity type
- Individual (NPI-1)
- Name
- Susan Craven
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2012
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 20054 | FL | Yes |
| 225X00000X | Occupational Therapist | 5201008310 | MI |
Practice location
10685 Sw Stony Creek WayPort St Lucie, FL 34987-2741
Phone 772-252-1900
Mailing address
101 E State StKennett Square, PA 19348-3109
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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