Ryan James Sumsion, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001360 Issued in CO

Practice address

4601 Eagleridge PL Ste 140
Pueblo, CO 81008-4101

Phone

(719) 253-7727

NPI assigned

Aug 7, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pueblo Pediatric Therapy Center, LLC

  • Pediatric Occupational Therapist
  • Pueblo, CO
  • NPI 1831338516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023628765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BROOKFIELD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053319",
            "telephone_number": "503-686-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EAGLERIDGE PL STE 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810084101",
            "telephone_number": "719-253-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMSION",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "T-OTA.0000024",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pueblo",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4601 Eagleridge Pl Ste 140",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810084101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Sufian
• Desiree Sumida, APN/FNP
• Lacey Summers
• Summit Primary Care
• Summit Smiles PLLC
• Sun Woman Massage LLC
• Sunflower Mountain Mental Health LLC
• Sunflower Mountain Mental Health LLC
• Ashakiran J Sunku, M.D.
• Sunshine Medical Group PLLC

• Occupational Therapy Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.