Individual provider Active NPI

Susan J Olmstead, O.T.R./L

  • Pediatric Occupational Therapist
  • Jamaica, NY
National Provider Identifier
1841449519
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
006861-1 Issued in NY
Practice address
8230 138TH St
Apartment 1M
Jamaica, NY 11435-1481
Phone
(516) 641-3262
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 006861-1 NY
Pediatric Occupational Therapist 225XP0200X 006861-1 NY Primary

Addresses

Primary practice location

8230 138TH St
Apartment 1M
Jamaica, NY 11435-1481

Mailing address

82-30 138TH Street
Apartment 1M
Jamaica, NY 11435-1483
Phone (516) 641-3262

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006861-1NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1841449519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-30 138TH STREET",
            "address_2": "APARTMENT 1M",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351483",
            "telephone_number": "516-641-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 138TH ST",
            "address_2": "APARTMENT 1M",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351481",
            "telephone_number": "516-641-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "O.T.R./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "006861-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.