Active NPI
Subashini Sundram, OTR
- Occupational Therapist
- Warsaw, MO
National Provider Identifier
1013939263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004255
- Practice address
- 204 Seminary St.
Warsaw, MO 65355-0338 - Phone
- (660) 438-6993
- NPI assigned
- Jul 24, 2006
- 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 | 004255 | MO | Primary |
Addresses
Primary practice location
204 Seminary St.
Warsaw, MO 65355-0338
Mailing address
22869 Feaster Branch Rd
Warsaw, MO 65355-4229
Phone (660) 428-2321
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004255 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013939263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22869 FEASTER BRANCH RD",
"city": "WARSAW",
"state": "MO",
"postal_code": "653554229",
"telephone_number": "660-428-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 SEMINARY ST.",
"city": "WARSAW",
"state": "MO",
"postal_code": "653550338",
"telephone_number": "660-438-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDRAM",
"first_name": "SUBASHINI",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.