Suzanne Michele Edwards, CTRS, CDES

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

57932 Issued in NY

Practice address

PO Box 1057
Ada, MI 49301-1057

Phone

(616) 682-7429

Fax

(616) 825-6096

NPI assigned

Jul 31, 2024

Last updated

Jul 31, 2024By the provider in NPPES

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

Other names 1

• Suzanne Michele Jacob Former name

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1467281071",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "353 COUSINEAU ROAD",
            "city": "WINDSOR",
            "state": "ONTARIO",
            "postal_code": "N9G 1V6"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1057",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493011057",
            "telephone_number": "616-682-7429",
            "fax_number": "616-825-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SUZANNE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "CTRS, CDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NY",
            "license": "57932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "JACOB",
            "middle_name": "MICHELE",
            "credential": "CTRS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Julia a. Mohr, PLC
• Jennifer Lynne Dykstra, FNP-C
• Dzirbowicz Chiropractic, PLC (Ada Chiropractic, PLC)
• Michael Henry Dzirbowicz, D.C.
• Faith Eaton
• Daniel Keith Ehnis, EDD
• Karen Marie Elbert, LMSW
• Endurance Rehabilitation & Athletics PLLC
• Kathleen Ann Esch, R.N.
• Evergreen Meadow Afc

• Recreation Therapist in Ada, MI
• Providers in Ada, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.