Active NPI
Rita Helene Suley, OTR-L
- Pediatric Occupational Therapist
- Camarillo, CA
National Provider Identifier
1134347198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT4316
- Practice address
- 155 Granada St
Suite a
Camarillo, CA 93010-7725 - Phone
- (805) 383-1501
- Fax
- (805) 384-0478
- NPI assigned
- Apr 23, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT4316 | CA | Primary |
Addresses
Primary practice location
155 Granada St
Suite a
Camarillo, CA 93010-7725
Mailing address
155 Granada St
Suite a
Camarillo, CA 93010-7725
Phone (805) 383-1501
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 |
|---|---|---|---|
| OT4316 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134347198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 GRANADA ST",
"address_2": "SUITE A",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930107725",
"telephone_number": "805-383-1501",
"fax_number": "805-384-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 GRANADA ST",
"address_2": "SUITE A",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930107725",
"telephone_number": "805-383-1501",
"fax_number": "805-384-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULEY",
"first_name": "RITA",
"middle_name": "HELENE",
"name_prefix": "Mrs.",
"credential": "OTR-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT4316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.