Supreme Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT215 Issued in FL

Legal business name

SUPREME THERAPY, LLC

Practice address

770 Keeneland Pike
Lake Mary, FL 32746-3951

Phone

(407) 321-8833

Fax

(407) 322-9966

NPI assigned

Aug 19, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joannes Maria Claessens, P.T.NPI 1700996360

Title

Managing Member

Phone

(407) 321-8833

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joannes Maria Claessens, P.T.

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1700996360
  NPD (past) Authorized official
• Laura Ann Wozniak, RPT

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1548448491
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225143647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KEENELAND PIKE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463951",
            "telephone_number": "407-321-8833",
            "fax_number": "407-322-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KEENELAND PIKE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463951",
            "telephone_number": "407-321-8833",
            "fax_number": "407-322-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLAESSENS",
        "authorized_official_first_name": "JOANNES",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-321-8833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16865",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y066A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Summers, LPTA
• Summerville 3, LLC (Brookdale Lake Mary)
• Sunshine Walk- in
• Sunstate Pediatrics
• Sunstatemedical Associates PA
• Shaveta Suri, M.A.
• Gabriella Lovaleen Sutton
• Robert E Sutton, M.D.
• Eric Edwin Swannie, ATC, LAT, CSCS
• Kayla Marie Swanson, LMHC

• Occupational Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.