Suzanne Mary Jobski, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

12374 Issued in MA

Practice address

75 Turnpike Rd # 3C
Ipswich, MA 01938-1046

Phone

(978) 356-0315

NPI assigned

Mar 31, 2019

Last updated

Mar 31, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kidshine LLC

  • Developmental Disabilities Clinic/Center
  • Ipswich, MA
  • NPI 1831562891
  NPD (past)

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1639630650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAMERICK RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603734",
            "telephone_number": "847-875-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 TURNPIKE RD # 3C",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019381046",
            "telephone_number": "978-356-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBSKI",
        "first_name": "SUZANNE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "12374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intercare Group Incorporated
• Ipswich Smiles
• Jessica Jenkins
• Laura Lea Jett, M.D.
• Jfs2Dmd99Pc
• John L Adams OD PC
• Jessica Joss
• Agnes Kahindi-Misigah
• Katie Hertz, PSYD, PLLC
• KCS, LLC

• Pediatric Occupational Therapist in Ipswich, MA
• Providers in Ipswich, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

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