ABIGALE ROSE SUCH (OTR) – Occupational Therapist, NPI 1497351100

ABIGALE ROSE SUCH (OTR) is a healthcare provider. based in St augustine, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. The NPI Number for ABIGALE ROSE SUCH (OTR) is 1497351100

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ABIGALE ROSE SUCH (OTR)
NPI
1497351100
Phone
(865) 804-6957
Address
120 ALTA ST APT 1308
Enumeration Date
8 December 2020
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043550155
Graduation Year
2020 (6 years ago)
PAC ID
6901214782
Group Practice PAC ID
4183096100
Professional Enrollment ID
I20210415000935
Address ID
FL322567449JA8011XHWYX300

Contacts

Main Contact
asuch@arcputnam.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ABIGALE ROSE SUCH (OTR)

  • 120 ALTA ST APT 1308

    ST AUGUSTINE, FL 320841048

    Phone: (865) 804-6957

    Type: Mailing

  • 1209 WESTOVER DR UNIT 3

    PALATKA, FL 321775397

    Phone: (386) 325-2249

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210415000935IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183096100View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does ABIGALE ROSE SUCH (OTR) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ABIGALE ROSE SUCH (OTR) uses 1497351100.
Does the file indicate ABIGALE ROSE SUCH (OTR) is practicing under active NPI?
Directory data currently reports ABIGALE ROSE SUCH (OTR) as active.
What healthcare role does ABIGALE ROSE SUCH (OTR) hold?
Scheduling teams often label ABIGALE ROSE SUCH (OTR) under Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does ABIGALE ROSE SUCH (OTR) list a practice location?
Patients near St Augustine, Florida may find ABIGALE ROSE SUCH (OTR) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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