Individual provider Active NPI

Suma Suresh Nair, M.A.O.T.

  • Occupational Therapist
  • Land O Lakes, FL
National Provider Identifier
1275808065
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31005257A Issued in IN
Practice address
4841 Artesian Rd
Land O Lakes, FL 34638-3718
Phone
(213) 400-8206
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X OT17849 FL
Occupational Therapist 225X00000X 31005257A IN Primary

Addresses

Primary practice location

4841 Artesian Rd
Land O Lakes, FL 34638-3718

Mailing address

4841 Artesian Rd
Land O Lakes, FL 34638-3718
Phone (213) 400-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531002831 FL Practitioner - Occupational Therapist in Private Practice 4183081466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuromov LLCGroup PAC ID 1951756980, 3 clinicians

Practice addresses (Care Compare)

18284 N US Hwy 41
Lutz, FL 33549-4400
Phone (213) 400-8206

9735 US Hwy 19
Port Richey, FL 34668-3846
Phone (813) 867-0385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31005257AINMDOccupational Therapist
OT17849FLMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management, LLC Occupational Therapist CurrentSince May 1, 2023 Accepting new patients
Creative Health Care Management LLC Occupational Therapist CurrentSince May 1, 2023 Accepting new patients
Neuromov LLC Occupational Therapist CurrentSince Sep 25, 2023 Accepting new patients
JH Therapy Services CurrentSince Aug 1, 2024 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544

765 W Grant St
Plant City, FL 33563
Phone (813) 743-3701

9735 US Highway 19
Port Richey, FL 34668
Phone (727) 484-7199

115 E Davis Blvd
Tampa, FL 33606
Phone (813) 254-8399

10 S 9th St
Ste 4
Noblesville, IN 46060

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Organizations & group practices 5

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1275808065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 ARTESIAN RD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383718",
            "telephone_number": "213-400-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 ARTESIAN RD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383718",
            "telephone_number": "213-400-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "SUMA",
        "middle_name": "SURESH",
        "name_prefix": "Ms.",
        "credential": "M.A.O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "OT17849",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005257A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.