Active NPI
Susan Marie Kurgan, COTA
- Occupational Therapy Assistant
- Dunkirk, NY
National Provider Identifier
1154562437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007276
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 007276 | NY | MD | Acupuncturist |
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.