Susan Marie Tyrrell, CRPA

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Practice address

25 Willowbrook Rd
Queensbury, NY 12804-5882

Phone

(518) 926-7200

Fax

(518) 926-7036

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1053903773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045882",
            "telephone_number": "518-926-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045882",
            "telephone_number": "518-926-7200",
            "fax_number": "518-926-7036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128045882",
            "country_code": "US",
            "telephone_number": "518-926-7200 x3137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYRRELL",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "CRPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn M Trzaskos, OT
• Machelle Anne Trzaskos, LPN
• Lisa J Tubbs, RN
• Mary H Tyree, MS ED
• Stephanie Leigh Tyrer, COTA/L
• United Cerebral Palsy Association of the Tri-Counties, Inc.
• United Cerebral Palsy Association of the Tri-Counties, Inc.
• Upstate Applied Behavior Analysis Services PLLC
• Peter Joseph Valastro Jr., NP
• Tara A Vanburen, OTR/L

• Recovery Care Clinic/Center in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Recovery Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.