Suzanne Marie Fefferman, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1719 Issued in OK

Practice address

916 SW 38TH St
Suite C
Lawton, OK 73505-7005

Phone

(580) 353-1490

Fax

(580) 250-1651

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Suzanne Marie Wroblewski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1205043502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SW 38TH ST",
            "address_2": "SUITE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057005",
            "telephone_number": "580-353-1490",
            "fax_number": "580-250-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SW 38TH ST",
            "address_2": "SUITE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057005",
            "telephone_number": "580-353-1490",
            "fax_number": "580-250-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEFFERMAN",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014105",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005049",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "WROBLEWSKI",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sally Fatjo, LPC
• Adeshola T Fatuyi
• Amanda Favalora
• Melinda Faver
• Kathleen Marie Feeley, CRNA
• Gilbert Felan
• Amber Dawn Felty, RDN/LD
• Madylynn Ferguson
• Lisa Hackett Fetick
• Tammy Lynn Fetzer

• Occupational Therapist in Lawton, OK
• Providers in Lawton, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.