Individual provider Active NPI

Susan Marie Kurgan, COTA

  • Occupational Therapy Assistant
  • Dunkirk, NY
National Provider Identifier
1154562437
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
007276 Issued in NY
Practice address
423 Main Street
Occupational Therapy & Hand Rehab.
Dunkirk, NY 14048-2920
Phone
(716) 366-3417
Fax
(716) 366-3568
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 007276 NY Primary

Addresses

Primary practice location

423 Main Street
Occupational Therapy & Hand Rehab.
Dunkirk, NY 14048-2920

Mailing address

47 Risley Street
Fredonia, NY 14063-2720
Phone (716) 366-6898

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

LicenseStateTypeSpecialty
007276NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1154562437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 RISLEY STREET",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140632720",
            "telephone_number": "716-366-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MAIN STREET",
            "address_2": "OCCUPATIONAL THERAPY & HAND REHAB.",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482920",
            "telephone_number": "716-366-3417",
            "fax_number": "716-366-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURGAN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.