Susan McKenna Occupational Therapy PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SUSAN MCKENNA OCCUPATIONAL THERAPY PC

Practice address

3500 Eugenes Rd
Cutchogue, NY 11935-2104

Phone

(631) 834-1604

Fax

(631) 734-8474

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Susan D. McKenna, OTR/L

Title

Occupational Therapist / Owner

Phone

(631) 834-1604

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1740845510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 EUGENES RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119352104",
            "telephone_number": "631-834-1604",
            "fax_number": "631-734-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 EUGENES RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119352104",
            "telephone_number": "631-834-1604",
            "fax_number": "631-734-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MCKENNA OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "631-834-1604",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfmckenna@optonline.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3500 Eugenes Rd",
            "city": "Cutchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119352104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Shimkus, DPT
• Donna Ann Smith
• Jayla Snider
• Malgorzata Stasiak Caric, N.P.
• Virginia Marie Surozenski, RPH
• Alexandra Sweeney
• Natalie Depaul Todd, M.ED., BCBA,LBA
• Tina Marie Vaccarella, OTR
• Erin T Van Gelder, OT
• Carla Assunta Varisano, PTA

• Occupational Therapist in Cutchogue, NY
• Providers in Cutchogue, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.