Active NPI
Susan Rose Januschka, B.S.
- Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1467623389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101339
- Practice address
- 333 Smith Ave N
Sister Kenney OT Dept
Saint Paul, MN 55102-2344 - Phone
- (651) 241-8290
- Fax
- (651) 241-7177
- NPI assigned
- Mar 19, 2008
- Last updated
- Mar 19, 2008
- 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 | 101339 | MN | Primary |
Addresses
Primary practice location
333 Smith Ave N
Sister Kenney OT Dept
Saint Paul, MN 55102-2344
Mailing address
333 North Smith Ave
United Hospital
St Paul, MN 55102
Phone (651) 241-8290
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101339 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1467623389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 NORTH SMITH AVE",
"address_2": "UNITED HOSPITAL",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-241-8290",
"fax_number": "651-241-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SMITH AVE N",
"address_2": "SISTER KENNEY OT DEPT",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022344",
"telephone_number": "651-241-8290",
"fax_number": "651-241-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUSCHKA",
"first_name": "SUSAN",
"middle_name": "ROSE",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "101339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.