Susan a Rudeen LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SUSAN A RUDEEN LLC

Practice address

136 Main St, Suite 201
Danielson, CT 06239-0623

Phone

(860) 670-1939

NPI assigned

Oct 24, 2023

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Ann Rudeen, OTRNPI 1487878385

Title

Owner

Phone

(860) 670-1939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Ann Rudeen, OTR/L

  • Occupational Therapist
  • Putnam, CT
  • NPI 1487878385
  Authorized official Same address or phone

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1760254759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAXWELL DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665600",
            "telephone_number": "860-670-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAIN ST, SUITE 201",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062390623",
            "telephone_number": "860-670-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A RUDEEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-04-30",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "RUDEEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-670-1939",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Danielson, CT
• Providers in Danielson, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.