Active NPI
Susan Zekert Hundsdorfer, OTR, CLVT
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1366565715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- CO HAS NO OT LICENSE
- Practice address
- 610 S 40TH St
Boulder, CO 80305-5905 - Phone
- (303) 543-0669
- Fax
- (303) 494-0530
- NPI assigned
- Apr 9, 2007
- 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 | CO HAS NO OT LICENSE | CO | Primary |
Addresses
Primary practice location
610 S 40TH St
Boulder, CO 80305-5905
Mailing address
610 S 40TH St
Boulder, CO 80305-5905
Phone (303) 543-0669
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15297957 | Other | CO | WITHHOLD LIC-EYEONLIVING |
| 665829002001 | Other | CO | UNEMP INS TAXIDEYEONLIVIN |
| 63180855 | Medicaid | CO | |
| 969623 | Other | NATL BOARD FOR CERT IN OT |
Other names 1
- Susan Zekert
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 |
|---|---|---|---|
| CO HAS NO OT LICENSE | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye on Living, Inc. | 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.
-
- Low Vision Occupational Therapist
- Boulder, CO
- NPI 1326378209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1366565715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S 40TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055905",
"telephone_number": "303-543-0669",
"fax_number": "303-494-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S 40TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055905",
"telephone_number": "303-543-0669",
"fax_number": "303-494-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNDSDORFER",
"first_name": "SUSAN",
"middle_name": "ZEKERT",
"credential": "OTR, CLVT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "CO HAS NO OT LICENSE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WITHHOLD LIC-EYEONLIVING",
"identifier": "15297957",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNEMP INS TAXIDEYEONLIVIN",
"identifier": "665829002001",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63180855",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATL BOARD FOR CERT IN OT",
"identifier": "969623",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "ZEKERT",
"credential": "OTR, CLVT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.