Susan Ann Buckley, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002350-1 Issued in NY

Practice address

159 Indian Head Rd
Commack, NY 11725-2205

Phone

(631) 543-4500

Fax

(631) 543-5162

NPI assigned

Mar 5, 2008

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)

Enrolled

State licenses

Practice roles

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.

• Ucpa of Suffolk Inc

  • Clinic/Center
  • Central Islip, NY
  • NPI 1609964790
  NPD (past)
• United Cerebral Palsy Association of Greater Suffolk, Inc.

  • Voluntary or Charitable Agency
  • Commack, NY
  • NPI 1932296001
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1306016316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SHORE RD",
            "address_2": "APT 1C",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614600",
            "telephone_number": "516-889-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 INDIAN HEAD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252205",
            "telephone_number": "631-543-4500",
            "fax_number": "631-543-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalina Brown
• James P. Browne, PSYD.
• Emily Bruestle, NP
• Barbara Varsha Brush, PT
• Courteney Buchan
• Building Blocks Developmental Pre-School
• Bennesa Julie Burbatsky, LPN
• Kisha Burke, LMHC-D
• Denise K Burns, D.O., F.A.A.O.
• Michael Stuart Burns, LCSW

• Occupational Therapist in Commack, NY
• Providers in Commack, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.