Chelsea Marie Suttles, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.002913 Issued in IL

Practice address

34 Windrush Dr
Jacksonville, IL 62650-1025

Phone

(217) 473-9121

NPI assigned

Oct 8, 2021

Last updated

Oct 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1114689916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WINDRUSH DR",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501025",
            "telephone_number": "217-473-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WINDRUSH DR",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501025",
            "telephone_number": "217-473-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLES",
        "first_name": "CHELSEA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.002913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Grace Stocker, APRN
• Shawna Striplin
• Tracy Ann Stucker, LCSW
• Kathleen Lea Summers, MD, PHD
• Kathryn Silvis Surbeck, SPEECH-LANGUAGE PATH
• Molly Taylor, FNP
• Russell Guy Taylor, PHD
• Julie W Tennill, MSW, ACSW, LCSW
• William R Tennill, LCSW
• Testing Centers of America LLC

• Occupational Therapy Assistant in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.