Suzanne D. Elcik, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT128 Issued in ME

Practice address

39 Limerick Rd
Arundel, ME 04046-8158

Phone

(207) 985-7861

Fax

(207) 985-6703

NPI assigned

Nov 4, 2006

Last updated

Sep 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1447339841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LIMERICK RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468158",
            "telephone_number": "207-985-7861",
            "fax_number": "207-985-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LIMERICK RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468158",
            "telephone_number": "207-985-7861",
            "fax_number": "207-985-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELCIK",
        "first_name": "SUZANNE",
        "middle_name": "D.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "OT128",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197900000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Kids Occupational Therapy
• Coastal Kids Occupational Therapy PLLC
• Jessica Cormier
• Kristen L Coutu, MS, OTR/L
• Karen E. Doe, M.S., CCC-SLP
• Floyd Daniel Erickson, LCPC
• Keira L Fitzgerald
• Micaela Baney Fullman, BCBA
• Melissa Galioto, LCSW
• Rubie Gaudette, ATC

• Pediatric Occupational Therapist in Arundel, ME
• Providers in Arundel, ME by specialty
• Pediatric Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.