Individual provider Active NPI

Kaitlyn Taylor Surasky

  • Occupational Therapist
  • Towson, MD
National Provider Identifier
1154209955
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09873 Issued in MD
Practice address
800 Southerly Rd
Towson, MD 21286-8403
Phone
(410) 339-6000
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 09873 MD Primary

Addresses

Primary practice location

800 Southerly Rd
Towson, MD 21286-8403

Mailing address

228 Cartland Way
Forest Hill, MD 21050-3109
Phone (443) 686-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251122000571 MD Practitioner - Occupational Therapist in Private Practice 7618469164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assisted Rehab. IncorporatedGroup PAC ID 9830144591, 14 clinicians

Practice addresses (Care Compare)

615 Chestnut Ave
Towson, MD 21204-3742
Phone (410) 825-7423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09873MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Assisted Rehab. Incorporated Occupational Therapist CurrentSince Aug 28, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1154209955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CARTLAND WAY",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210503109",
            "telephone_number": "443-686-1362",
            "fax_number": "443-686-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SOUTHERLY RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868403",
            "telephone_number": "410-339-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURASKY",
        "first_name": "KAITLYN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.