Individual provider Active NPI

Susan L Montazzoli, OTR/L

  • Occupational Therapist
  • Cheektowaga, NY
National Provider Identifier
1851472385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002519 Issued in NY
Practice address
4635 Union Rd
Cheektowaga, NY 14225-1851
Phone
(716) 505-5700
Fax
(716) 933-9351
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002519 NY Primary

Addresses

Primary practice location

4635 Union Rd
Cheektowaga, NY 14225-1851

Mailing address

4578 Ridgeview Drive, South
Pendleton, NY 14120
Phone (716) 695-6160

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
002519NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Wny Past Accepting new patients
Aspire Wny Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851472385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 RIDGEVIEW DRIVE, SOUTH",
            "city": "PENDLETON",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-695-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251851",
            "telephone_number": "716-505-5700",
            "fax_number": "716-933-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAZZOLI",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.