Susan Evata Snyder, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA9554 Issued in FL

Practice address

600 North Blvd W
Leesburg, FL 34748-5063

Phone

(352) 728-6636

Fax

(352) 787-4522

NPI assigned

Feb 9, 2009

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1235378654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 NW 53RD AVE",
            "address_2": "SUITE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533415",
            "telephone_number": "352-371-9103",
            "fax_number": "352-371-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTH BLVD W",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485063",
            "telephone_number": "352-728-6636",
            "fax_number": "352-787-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "SUSAN",
        "middle_name": "EVATA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA9554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Boynton Smith, PT
• Shirley Smith, LMHC
• SNG Labs-SNG Prosthetic Eye Institute, Inc.
• Jason Snyder, D.M.D.
• Michel A Snyder, MD
• Christopher T Soprenuk, MD
• Amarilis Sotolongo, MSN-FNP
• South Campus Facility Inc
• South Campus Nursing and Rehab LLC
• Laura Stokes Southern, PT

• Occupational Therapy Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.