Rattanakorn Suksaby, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT210002101 Issued in DC

Practice address

1012 Centennial Dr
Fort Washington, MD 20744-3729

Phone

(585) 201-3733

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By 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 1

Addresses

Other names 1

• June Suksaby Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creative Health Care Management LLCGroup PAC ID 4385929892, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creative Health Care Management, LLC

  dba Vertis Therapy - DC

  • Physical Therapist
  • Washington, DC
  • NPI 1487239349

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1467169607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CENTENNIAL DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443729",
            "telephone_number": "585-201-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CENTENNIAL DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443729",
            "telephone_number": "585-201-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKSABY",
        "first_name": "RATTANAKORN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT210002101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNE",
            "last_name": "SUKSABY",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Stinson Jr.
• Amber C Stokes, PHARMD
• Strategic Screening & Diagnostics, LLC
• Suburban Orthopaedic Total Joint and Sports Clinic, P.C.
• Suburban Orthopaedic,Total Joint and Sports Clinic,P.C.
• James Eugene Sullivan, D.D.S.
• Rediat Tadesse
• Zenash Gizaw Tadesse
• Elizabeth Park Tanner, M.D.
• Danielle Tapsoba

• Occupational Therapist in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.