Active NPI
Sarah Renee Surprenant, OTR/L
- Occupational Therapist
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.007020
- Practice address
- 3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800 - Phone
- (618) 993-6237
- Fax
- (618) 997-3529
- NPI assigned
- Jan 7, 2008
- 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 | 056.007020 | IL | Primary |
Addresses
Primary practice location
3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800
Mailing address
3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800
Phone (618) 993-6237
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213486 | Other | IL | GROUP |
| DG7011 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Charlie Daniels Pkwy
Mount Juliet, TN 37122-3064
Phone (877) 367-9772
1030 S Maple Ave
Cookeville, TN 38501-4061
Phone (931) 271-9490
1176 Warfield Blvd
Clarksville, TN 37043-6005
Phone (877) 367-9772
1250 Cedar Hills Dr
Cookeville, TN 38506-4347
Phone (931) 223-4862
1310 Rosewood Dr
Columbia, TN 38401-6434
Phone (931) 342-1712
2035 Vantage Pointe
Ashland City, TN 37015-4093
Phone (615) 380-4752
300 Celebration Cir
Franklin, TN 37067-1401
Phone (615) 274-9107
6961 Hwy 70 S
Nashville, TN 37221-2204
Phone (844) 502-7996
7015 Moores LN
Brentwood, TN 37027-2902
Phone (615) 412-8804
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.007020 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Ultimate Therapeutic Solutions, LLC | Past | Accepting new patients | |
| Align Healthcares LLC | Past | Accepting new patients | |
| Occupational Performance and Rehab, PC | Occupational Therapist | Past | Accepting new patients |
| Performance Chiropractic of Southern Illinois LLC | Past | Accepting new patients | |
| Align Healthcare LLC | Past | Accepting new patients |
Locations
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
Occupational Therapist
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Occupational Therapist
-
- Chiropractor
- Carbondale, IL
- NPI 1487960035
-
- Primary Care Clinic/Center
- Carbondale, IL
- NPI 1962788489
-
- Occupational Therapist
- Marion, IL
- NPI 1689746216
-
- Chiropractor
- Marion, IL
- NPI 1538314414
-
- Physical Therapy Clinic/Center
- Christopher, IL
- NPI 1174715650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1689859944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 W ERNESTINE DR",
"address_2": "SUITE B",
"city": "MARION",
"state": "IL",
"postal_code": "629595800",
"telephone_number": "618-993-6237",
"fax_number": "618-997-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 W ERNESTINE DR",
"address_2": "SUITE B",
"city": "MARION",
"state": "IL",
"postal_code": "629595800",
"telephone_number": "618-993-6237",
"fax_number": "618-997-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURPRENANT",
"first_name": "SARAH",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.007020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "213486",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG7011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.