Kristen Renee Suraci

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14040 Issued in FL

Practice address

11769 Trevally Loop Apt 109
Trinity, FL 34655-0050

Phone

(727) 515-0949

NPI assigned

May 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1891542445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11769 TREVALLY LOOP APT 109",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346550050",
            "telephone_number": "727-515-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11769 TREVALLY LOOP APT 109",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346550050",
            "telephone_number": "727-515-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACI",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Su
• Andrea Mariella Suarez
• Thondikulam Ananthanarayanan Subramanian, MD
• Vishnu Hardasmal Sujanani, MA, CCC-SLP
• Sunshine Clinical Lab LLC
• Surgical Specialists of Trinity, PA
• Brandon Tyler Szakacs, DO
• T. Subramanian MD PA
• Rebecca J Tae, PA
• Tesa Taju, PMHNP

• Occupational Therapist in Trinity, FL
• Providers in Trinity, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.