Individual provider Active NPI

Suzanne B Oliveri, OTR/L

  • Pediatric Occupational Therapist
  • Danbury, CT
National Provider Identifier
1700196052
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
015960-1
Practice address
11 Timber Crest Dr
Danbury, CT 06811-2704
Phone
(203) 826-7483
NPI assigned
Oct 19, 2010
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 015960-1 Primary

Addresses

Primary practice location

11 Timber Crest Dr
Danbury, CT 06811-2704

Mailing address

11 Timber Crest Dr
Danbury, CT 06811-2704
Phone (203) 826-7483

Other practice location 1

1011 Fm 359 Rd Ste A
Richmond, TX 77406-2011
Phone (281) 232-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407000477 TX Practitioner - Occupational Therapist in Private Practice 0749704237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117805TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Plus, PLLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

1011 FM 359 Rd
Ste A
Richmond, TX 77406
Phone (281) 232-1900

1421 FM 359 Rd
Ste H
Richmond, TX 77406
Phone (281) 232-1900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1700196052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TIMBER CREST DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068112704",
            "telephone_number": "203-826-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TIMBER CREST DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068112704",
            "telephone_number": "203-826-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Fm 359 Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774062011",
            "country_code": "US",
            "telephone_number": "281-232-1900",
            "fax_number": "281-232-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVERI",
        "first_name": "SUZANNE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": "015960-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.