Tamara Ann Surprenant, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004395-1 Issued in NY

Practice address

9501 River Rd
Marcy, NY 13403-2074

Phone

(315) 724-0683

Fax

(315) 797-7527

NPI assigned

Dec 31, 2015

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 NY

Enrollment records 1

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912

  NY

  Medicare reassignment
• State of New York Comptrollers Office

  • Physical Therapist
  • Albany, NY
  • NPI 1346710985

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1710342001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 RIVER RD",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "134032074",
            "telephone_number": "315-724-0683",
            "fax_number": "315-797-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 RIVER RD",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "134032074",
            "telephone_number": "315-724-0683",
            "fax_number": "315-797-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURPRENANT",
        "first_name": "TAMARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004395-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan O. Shaffer, OTR/L
• Josephine Andrea Slifka, FNP
• David A Stead
• Lisa V Stewart, OTR
• Thomas S Stuhlman, RPH
• Joanna Sweeney, LPN
• Helene M Tomberelli
• Karen Ann Tourtelot, NP
• Jason W Trinkaus, PT
• Upstate Cerebral Palsy

• All providers in Marcy, NY
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.