Individual provider Active NPI

Suzanne Schmoll Burkardt, CHT/OT

  • Hand Occupational Therapist
  • Malvern, PA
National Provider Identifier
1528036183
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC001538L Issued in PA
Practice address
1459 Church Rd
Malvern, PA 19355-9710
Phone
(610) 407-0204
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reconstructive Orthopaedic Associates II LLC 274 clinicians

Practice addresses (Care Compare)

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002334 PA Practitioner - Occupational Therapist in Private Practice 0042512691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC Hand CurrentSince Jan 1, 2016 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

234 Mall Blvd
Ste G30
King of Prussia, PA 19406
Phone (267) 339-3647

650 Carnegie Blvd
Ste 220A
Malvern, PA 19355
Phone (610) 707-4028

1118 W Baltimore Pike
Fl 3
Media, PA 19063
Phone (610) 480-6000

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OC001538L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1459 Church Rd
Malvern, PA 19355-9710

Mailing address

1459 Church Rd
Malvern, PA 19355-9710
Phone (610) 407-0204

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
0123789000OtherPAIBC
3837010OtherPAAETNA
11443178OtherPACAQH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2009.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1528036183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 CHURCH RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559710",
            "telephone_number": "610-407-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 CHURCH RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559710",
            "telephone_number": "610-407-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKARDT",
        "first_name": "SUZANNE",
        "middle_name": "SCHMOLL",
        "name_prefix": "Mrs.",
        "credential": "CHT/OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC001538L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0123789000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3837010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11443178",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.