Active NPI
Susan Forsythe
- Occupational Therapist
- New York, NY
National Provider Identifier
1164390100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 030067
- Practice address
- 107 W 82ND St Ste 108
New York, NY 10024-5511 - Phone
- (917) 558-0228
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 030067 | NY | Primary |
| Massage Therapist | 225700000X | 016396-01 | NY |
Addresses
Primary practice location
107 W 82ND St Ste 108
New York, NY 10024-5511
Mailing address
16129 Jewel Ave Apt 5J
Fresh Meadows, NY 11365-4365
Phone (917) 488-8072
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 |
|---|---|---|---|
| 016396-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1164390100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16129 JEWEL AVE APT 5J",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654365",
"telephone_number": "917-488-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W 82ND ST STE 108",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245511",
"telephone_number": "917-558-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTHE",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "030067",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "016396-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Beverly A Forsyth, MD
- Jessica M Forsyth, PHD
- Molly Forsyth, L.AC.
- Vhari Sarah Forsyth, MD
- Jennifer Marie Forsythe, DMD
- Fort Health Medical Group PA
- Fort Health Medical Group PA
- Fort Tryon Center for Rehabilitation and Nursing
- Fort Tryon Optical Inc.
- Fort Tryon Rehabilitation & Health Care Facility LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.