Active NPI
Natalia Suslov, OTR
- Occupational Therapist
- Northport, NY
National Provider Identifier
1104252915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 312091
- Practice address
- 11 Williamsburg Dr
Northport, NY 11768-2547 - Phone
- (347) 578-6063
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 312091 | NY | Primary |
Addresses
Primary practice location
11 Williamsburg Dr
Northport, NY 11768-2547
Mailing address
11 Williamsburg Dr
Northport, NY 11768-2547
Phone (347) 578-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312091 | Other | NY | NBCOT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1104252915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WILLIAMSBURG DR",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682547",
"telephone_number": "347-578-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WILLIAMSBURG DR",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682547",
"telephone_number": "347-578-6063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSLOV",
"first_name": "NATALIA",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "312091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "312091",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.