Susanne Marie Minks, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

207506 Issued in TX

Practice address

2259 County Road 291
East Bernard, TX 77435-8789

Phone

(979) 533-2495

NPI assigned

Jan 7, 2015

Sex

Female

Sole proprietor

Yes

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1235527615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 COUNTY ROAD 291",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774358789",
            "telephone_number": "979-533-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 COUNTY ROAD 291",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774358789",
            "telephone_number": "979-533-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKS",
        "first_name": "SUSANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "207506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J. Jalowy, D.D.S.
• Jeffrey Alan Jalowy, D.D.S.
• Janna Janish, M.D.
• Timothy Holmes Johnston, L.M.T.
• Eric S Kucera, DC
• Rhonda G. Morrow, PNP
• Amy N Owens Horelica, APRN
• Larry Penick, MD
• Geraldine Raphael
• Renascent Ventures LLC

• All providers in East Bernard, TX
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.