Active NPI
Susan Schaefer, OT
- Occupational Therapist
- Ardsley, NY
National Provider Identifier
1255641569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 006595-1
- Practice address
- 1015 Saw Mill River Rd
Ardsley, NY 10502-1118 - Phone
- (914) 400-1500
- Fax
- (914) 478-8781
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006595-1 | NY | Primary |
Addresses
Primary practice location
1015 Saw Mill River Rd
Ardsley, NY 10502-1118
Mailing address
1255 5TH Ave
Suite 6L
New York, NY 10029-3852
Phone (914) 400-1500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006595-1 | NY | MD | Occupational Therapist |
| 006595 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Sos PT PC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1255641569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 5TH AVE",
"address_2": "SUITE 6L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293852",
"telephone_number": "914-400-1500",
"fax_number": "914-478-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021118",
"telephone_number": "914-400-1500",
"fax_number": "914-478-8781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "SUSAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "006595-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.