Active NPI
Suzanne R Cornelius, OTR/L
- Occupational Therapist
- Parma, OH
National Provider Identifier
1104156074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 3858
- Practice address
- 7700 Malibu Dr
Parma, OH 44130-7203 - Phone
- (440) 885-8645
- NPI assigned
- Dec 28, 2009
- 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 | OT 3858 | OH | Primary |
Addresses
Primary practice location
7700 Malibu Dr
Parma, OH 44130-7203
Mailing address
11831 N Churchill Way
Strongsville, OH 44149-9282
Phone (440) 846-5516
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 |
|---|---|---|---|
| OT 3858 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1104156074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11831 N CHURCHILL WAY",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441499282",
"telephone_number": "440-846-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 MALIBU DR",
"city": "PARMA",
"state": "OH",
"postal_code": "441307203",
"telephone_number": "440-885-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUS",
"first_name": "SUZANNE",
"middle_name": "R",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-28",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT 3858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.