Victoria Sudakova, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026826 Issued in NY

Practice address

9 Nixon CT Apt 2a
Brooklyn, NY 11223-6503

Phone

(917) 515-5973

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Playworks OT PT PLLC

  • Early Intervention Provider Agency
  • Rego Park, NY
  • NPI 1629364724
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1154850626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NIXON CT APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236503",
            "telephone_number": "917-515-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NIXON CT APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236503",
            "telephone_number": "917-515-5973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 99th St Ste Ll1",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113743536",
            "country_code": "US",
            "telephone_number": "718-606-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDAKOVA",
        "first_name": "VICTORIA",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Sucuzhanay
• Chaya Mushka Sudak
• Chaya Mussia Sudak
• Tzaiti Sudak
• Julia Sudakov, RPH
• Michele F Sudano, LCSW
• Sudara PT PC
• Rahat Nawaz Suddle, MD
• Gayathri Sudha Hari, M.D.
• Sudha Patel MD PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.