Active NPI
Susan B Lee, MS,OTR/L
- Occupational Therapist
- West Haverstraw, NY
National Provider Identifier
1477064541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005168-1
- Practice address
- 51-55 Route 9W
West Haverstraw, NY 10993 - Phone
- (845) 786-4809
- Fax
- (845) 786-4068
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 005168-1 | NY | Primary |
Addresses
Primary practice location
51-55 Route 9W
West Haverstraw, NY 10993
Mailing address
25 Sargent Rd
Warwick, NY 10990-2552
Phone (845) 742-8191
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005168-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1477064541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 SARGENT RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109902552",
"telephone_number": "845-742-8191",
"fax_number": "845-786-4068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51-55 ROUTE 9W",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "10993",
"telephone_number": "845-786-4809",
"fax_number": "845-786-4068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MS,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005168-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haverstraw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.