Individual provider Active NPI

Paige Allison Susanka, OTR/L

  • Occupational Therapist
  • Lee's Summit, MO
National Provider Identifier
1255199543
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2024008486 Issued in MO
Practice address
1174 NE Douglas St
Lees Summit, MO 64086-4602
Phone
(816) 875-3884
Fax
(816) 524-5080
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2024008486 MO Primary
Occupational Therapist 225X00000X 17-04271 KS

Addresses

Primary practice location

1174 NE Douglas St
Lees Summit, MO 64086-4602

Mailing address

PO Box 650020
Dept 5093
Dallas, TX 75265-0020
Phone (816) 875-3884

Other practice location 1

6362 College Blvd
Overland Park, KS 66211-1506
Phone (913) 754-0888

Other practice location 2

11340 Nall Ave Ste 200B
Overland Park, KS 66211-1234
Phone (913) 354-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1255199543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650020",
            "address_2": "DEPT 5093",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650020",
            "telephone_number": "816-875-3884",
            "fax_number": "816-524-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864602",
            "telephone_number": "816-875-3884",
            "fax_number": "816-524-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6362 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111506",
            "country_code": "US",
            "telephone_number": "913-754-0888",
            "fax_number": "913-754-0891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11340 Nall Ave Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111234",
            "country_code": "US",
            "telephone_number": "913-354-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSANKA",
        "first_name": "PAIGE",
        "middle_name": "ALLISON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2024008486",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-04271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.