Susan M Pernice, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

016017-1 Issued in NY

Practice address

138 Reade St
New York, NY 10013-3968

Phone

(212) 608-9661

NPI assigned

Jun 12, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Susan M Thanel Former name

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": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1144541236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MONITOR ST",
            "address_2": "APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 READE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133968",
            "telephone_number": "212-608-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNICE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016017-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "016017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "THANEL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Thomas Perna, D.C.
• Gerard Perna, LCSW
• Michelle Perna, DDS
• Tyler Eric Pernes, MD
• Monica Andreina Pernia Marin, MD
• Melissa G Perniciaro, PMHNP-BC
• Joshua Pernick, PT, DPT
• Alessandra B. Pernis, M.D.
• Jessica Perocho
• Robert W Perone, M.D.

• Pediatric Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; 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.