Sue Ellen Kozub, OTR/CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201000446 Issued in MI

Practice address

455 Barclay Cir
Suite B-1
Rochester Hills, MI 48307-4774

Phone

(248) 853-6965

Fax

(248) 853-6972

NPI assigned

Feb 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1184893802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BARCLAY CIR",
            "address_2": "SUITE B-1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074774",
            "telephone_number": "248-853-6965",
            "fax_number": "248-853-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BARCLAY CIR",
            "address_2": "SUITE B-1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074774",
            "telephone_number": "248-853-6965",
            "fax_number": "248-853-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZUB",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "name_prefix": "Mr.",
        "credential": "OTR/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kopal Sureshbhai Kotak
• Dheeraj Kothakonda
• Priya D. Kothari, D.M.D.
• Anu John Kottukappally, NP-C
• Mark Alan Kowal, D.D.S.
• Tate Kraemer
• Kraft Chiropractic - Rochester Inc.
• Paul Christian Kraft, D.C.
• Phillip L Kraft, M.D.
• Sarah Krasnick, NURSE PRACTITIONER

• Occupational Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.