Individual provider Active NPI

Rachel Surpris-Saunders, OTR/L

  • Occupational Therapist
  • Yorktown Heights, NY
National Provider Identifier
1659628386
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014972 Issued in NY
Practice address
1998 Commerce St # 1002
Yorktown Heights, NY 10598-4412
Phone
(347) 277-9531
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00611900 NJ
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 014972 NY Primary

Addresses

Primary practice location

1998 Commerce St # 1002
Yorktown Heights, NY 10598-4412

Mailing address

25 Scenic Dr
Apt E
Croton on Hudson, NY 10520-1831
Phone (646) 334-5431

Other practice location 1

300 Prospect Ave
Apt 6C
Hackensack, NJ 07601-7712
Phone (646) 334-5431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019001924 NY Practitioner - Occupational Therapist in Private Practice 7911327697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Maple St
Unit 352
Croton on Hudson, NY 10520-7028
Phone (347) 277-9531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00611900NJMDOccupational Therapist
014972NYMDSpeech-Language Pathologist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1659628386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SCENIC DR",
            "address_2": "APT E",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201831",
            "telephone_number": "646-334-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 COMMERCE ST # 1002",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984412",
            "telephone_number": "347-277-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Prospect Ave",
            "address_2": "Apt 6C",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076017712",
            "country_code": "US",
            "telephone_number": "646-334-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURPRIS-SAUNDERS",
        "first_name": "RACHEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00611900",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.