Susan Ide, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT002678 Issued in FL

Practice address

1500 NW 10TH Ave
#201
Boca Raton, FL 33486-1312

Phone

(561) 338-6100

Fax

(561) 338-6434

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rudi E Ide and Assoc IncGroup PAC ID 0446417364, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rudi E Ide & Assoc Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1598857450

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700987724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "#201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-338-6100",
            "fax_number": "561-338-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "#201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-338-6100",
            "fax_number": "561-338-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT002678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niyaz Ibragimov, RN
• Icc Healthcare LLC
• Ics Radiology, Inc.
• ICU NJ, PC
• Rudi Ide, RPT
• Ideal Neurology Clinic, PLLC
• Idental of Boca Raton, PLLC
• Noureen S. Idrees-Asad, MD
• Joseph Angelo Ierulli, DO
• Ifocus Optometry Inc

• Occupational Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.