Suzanne Kay McKenna-Stukas, MS OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3152 Issued in CA

Practice address

2019 Anderson Rd
Suite a
Davis, CA 95616

Phone

(530) 758-2222

Fax

(530) 758-2283

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Suzanne Kay Stukas Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Burger Physical Therapy Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1356352082
  Medicare reassignment NPD
• Burger Physical Therapy and Rehabilitation Agency Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1457333908
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427159409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 MUIR WDS PLACE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "telephone_number": "530-756-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 ANDERSON RD",
            "address_2": "SUITE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "telephone_number": "530-758-2222",
            "fax_number": "530-758-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA-STUKAS",
        "first_name": "SUZANNE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MS OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "STUKAS",
            "middle_name": "KAY",
            "credential": "MS OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Marilyn McGoldrick, ATC
• Catherine Ann McGovern
• Leslie D McGregor, PTA
• Gaia Jeanne Bouchard-Hall McGrew, PT
• Laili June McGrew, LCSW
• Kailey Rene McLaughlin
• James Eugene McLeod
• Jack Harris McMahon
• Charles J McNeil, LCSW
• Kenneth Blair McNeill, LPCC

• Occupational Therapist in Davis, CA
• Providers in Davis, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.