Irene Lim Lo Suy Comstock, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

2007030520 Issued in MO

Practice address

710 Broadridge Dr
Jackson, MO 63755-3042

Phone

(573) 243-3101

NPI assigned

Apr 16, 2016

Last updated

Apr 16, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460764800000",
    "number": "1730533738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BROADRIDGE DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553042",
            "telephone_number": "573-243-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BROADRIDGE DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553042",
            "telephone_number": "573-243-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMSTOCK",
        "first_name": "IRENE",
        "middle_name": "LIM LO SUY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2016-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MO",
            "license": "2007030520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusha C Cecil, LMSW
• Lindsay Chapman, LMSW
• Magin Lea Chapman, APRN, BC-FNP
• Sydney Nicole Cheek
• Kaitlyn Faith Coffman, MS, CF-SLP
• John D Cooley, PH.D
• Luke Henry Cowell, PTA
• Ashley Cox
• Elizabeth A Crader, BCBA
• Jacquelyn Marie Crandall, DPT

• Gerontology Occupational Therapist in Jackson, MO
• Providers in Jackson, MO by specialty
• Gerontology Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.