Active NPI
Nina Suzanne Fusco, OTR/L
- Occupational Therapist
- Clifton Park, NY
National Provider Identifier
1740704337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021644-1
- Practice address
- 515 Moe Rd
Clifton Park, NY 12065-3821 - Phone
- (518) 280-4294
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 021644-1 | NY | Primary |
Addresses
Primary practice location
515 Moe Rd
Clifton Park, NY 12065-3821
Mailing address
9 Van Buren Ave
Mechanicville, NY 12118-1330
Phone (518) 369-5599
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021644-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Therapy Group PT OT SLP and Psychology Services PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Clifton Park, NY
- NPI 1255641510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1740704337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 VAN BUREN AVE",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "121181330",
"telephone_number": "518-369-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MOE RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653821",
"telephone_number": "518-280-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSCO",
"first_name": "NINA",
"middle_name": "SUZANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021644-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.