Jennifer Elaine Suvak, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005864 Issued in OH

Practice address

6200 Lear Nagle Rd
North Ridgeville, OH 44039-3224

Phone

(440) 412-7100

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1154100246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 MARIANA DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302841",
            "telephone_number": "216-544-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LEAR NAGLE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393224",
            "telephone_number": "440-412-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 W 130th St",
            "address_purpose": "LOCATION",
            "city": "North Royalton",
            "state": "OH",
            "postal_code": "441331011",
            "country_code": "US",
            "telephone_number": "440-237-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUVAK",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT005864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.