Individual provider Active NPI

Suesana Denton, COTA

  • Occupational Therapy Assistant
  • Hebron, KY
National Provider Identifier
1538302641
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
164315 Issued in KY
Practice address
1828 Tanner Rd
Hebron, KY 41048-9554
Phone
(859) 322-9594
Fax
(859) 818-0890
NPI assigned
Apr 20, 2009
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 005010-1 NY
Occupational Therapy Assistant 224Z00000X 164315 KY Primary

Addresses

Primary practice location

1828 Tanner Rd
Hebron, KY 41048-9554

Mailing address

1828 Tanner Rd
Hebron, KY 41048-9554
Phone (859) 322-9594

Other practice location 1

2725 Crompond Rd
Yorktown Heights, NY 10598-3129
Phone (914) 243-8160

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

State licenses

LicenseStateTypeSpecialty
164315KYMDOccupational Therapy Assistant
005010-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Achievements,PLLC PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1538302641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 TANNER RD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489554",
            "telephone_number": "859-322-9594",
            "fax_number": "859-818-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 TANNER RD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489554",
            "telephone_number": "859-322-9594",
            "fax_number": "859-818-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105983129",
            "country_code": "US",
            "telephone_number": "914-243-8160",
            "fax_number": "914-243-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTON",
        "first_name": "SUESANA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005010-1",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "164315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.