Active NPI
Ana Laura Suarez Gonzalez
- Occupational Therapist
- Ithaca, NY
National Provider Identifier
1649811472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024057
- Practice address
- 225 S Fulton St Ste D
Ithaca, NY 14850-3344 - Phone
- (607) 437-0141
- NPI assigned
- Oct 2, 2019
- Last updated
- Oct 2, 2019
- 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 | 024057 | NY | Primary |
Addresses
Primary practice location
225 S Fulton St Ste D
Ithaca, NY 14850-3344
Mailing address
211 Maple Ave Apt 213a
Ithaca, NY 14850-6911
Phone (787) 362-9933
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024057 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gorge Falls Therapy SLP, OT, PLLC | Past | Accepting new patients | |
| Gorge Falls Therapy SLP, OT, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Ithaca, NY
- NPI 1295258689
-
- Early Intervention Provider Agency
- Ithaca, NY
- NPI 1821556358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1649811472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 MAPLE AVE APT 213A",
"city": "ITHACA",
"state": "NY",
"postal_code": "148506911",
"telephone_number": "787-362-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S FULTON ST STE D",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503344",
"telephone_number": "607-437-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ GONZALEZ",
"first_name": "ANA",
"middle_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.