IndividualActive
Susan Perry
NPI 1104802958 · Pediatric Occupational Therapist · Waco, TX
Provider details
- NPI number
- 1104802958
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 106433 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Klaras Children'S Center Eci
110 S. 12th Street
Waco, TX 76703-0890
Phone: (254) 752-3451
Fax: (254) 296-2932
Approximate (ZIP-level) locationGet directions
Mailing address
3115 Cumberland Ave
Waco, TX 76707-1220
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2007-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.