Active NPI
Jason Drusbacky, MOT, OTR/L
- Occupational Therapist
- Solon, OH
National Provider Identifier
1083091920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008979
- Practice address
- 31005 Bainbridge Rd Ste 7
Solon, OH 44139-6401 - Phone
- (440) 498-1100
- NPI assigned
- Apr 29, 2015
- Sex
- Male
- 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 | 008979 | OH | Primary |
Addresses
Primary practice location
31005 Bainbridge Rd Ste 7
Solon, OH 44139-6401
Mailing address
810 W 6TH St
Port Clinton, OH 43452-2100
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 |
|---|---|---|---|
| 008979 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stefanie J. Peck, M.a. CCC-SLP | Past | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Solon, OH
- NPI 1669743480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1083091920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 W 6TH ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434522100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31005 BAINBRIDGE RD STE 7",
"city": "SOLON",
"state": "OH",
"postal_code": "441396401",
"telephone_number": "440-498-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUSBACKY",
"first_name": "JASON",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "008979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.