Active NPI
Maura Anne Stadem Suilebhan
- Occupational Therapy Assistant
- Washington, DC
National Provider Identifier
1699107649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA100000255
- Practice address
- 1900 L St NW
Suite #607
Washington, DC 20036-5002 - Phone
- (202) 520-7223
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A02038 | MD | |
| Occupational Therapy Assistant | 224Z00000X | OTA100000255 | DC | Primary |
Addresses
Primary practice location
1900 L St NW
Suite #607
Washington, DC 20036-5002
Mailing address
219 Normandy Dr
Silver Spring, MD 20901-3116
Phone (202) 744-4833
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 |
|---|---|---|---|
| OTA100000255 | DC | MD | Occupational Therapy Assistant |
| A02038 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1699107649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 NORMANDY DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209013116",
"telephone_number": "202-744-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 L ST NW",
"address_2": "SUITE #607",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365002",
"telephone_number": "202-520-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUILEBHAN",
"first_name": "MAURA",
"middle_name": "ANNE STADEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A02038",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "DC",
"license": "OTA100000255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.