Preeti Suryakumar, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60611785 Issued in WA

Practice address

13056 SE 76TH St
Newcastle, WA 98056-4159

Phone

(425) 386-3833

NPI assigned

Jun 13, 2016

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1205285004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 153RD AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063246",
            "telephone_number": "858-603-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13056 SE 76TH ST",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980564159",
            "telephone_number": "425-386-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYAKUMAR",
        "first_name": "PREETI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60611785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Staniek, ND
• Adam M Stephenson, DO
• Geoffrey R Strange, DDS
• Margot Johanna Strouss
• Lindsay Meredith Sturtevant, DPT
• Sync LLC
• Jenny X Tang, RPH
• Shannon Evette Tartaglia, COTA/L
• Alan Tesoro, MSPT
• The Mindful Doc PLLC

• Occupational Therapist in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.