Active NPI
Ashley Noel Suda
- Occupational Therapist
- Merrillville, IN
National Provider Identifier
1013553148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31007013A
- Practice address
- 8380 Virginia St
Merrillville, IN 46410-6231 - Phone
- (219) 769-9009
- NPI assigned
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31007013A | IN | Primary |
Addresses
Primary practice location
8380 Virginia St
Merrillville, IN 46410-6231
Mailing address
8212 Parkview Ave
Munster, IN 46321-1419
Phone (219) 791-3634
Other practice location 1
8212 Parkview Ave
Munster, IN 46321-1419
Phone (219) 791-3634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31007013A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Indiana LLC | Occupational Therapist | Current | Accepting new patients |
Locations
14901 Carey Rd
Carmel, IN 46033
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1013553148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8212 PARKVIEW AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211419",
"telephone_number": "219-791-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 VIRGINIA ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106231",
"telephone_number": "219-769-9009"
}
],
"practiceLocations": [
{
"address_1": "8212 Parkview Ave",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463211419",
"country_code": "US",
"telephone_number": "219-791-3634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUDA",
"first_name": "ASHLEY",
"middle_name": "NOEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31007013A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.