Susanne Irene Brook, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005254-1 Issued in NY

Practice address

100 Millbrook Rd
Bedford, NY 10506-1707

Phone

(917) 853-6554

NPI assigned

Sep 19, 2008

Last updated

Sep 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1891945465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILLBROOK RD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061707",
            "telephone_number": "917-853-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILLBROOK RD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061707",
            "telephone_number": "917-853-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOK",
        "first_name": "SUSANNE",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005254-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen James Alderman, M. D.
• Jill Leslie Becker, M.D.
• Bedford Central School District
• Bedford Drugs, Inc. (Bedford Pharmacy)
• Norman Martin Brier, PH.D.
• David Carroll, LMHC
• Mildred Chervin, RPH
• Laurie Ciavardini, LCSW
• Carolyn Anne Clark-Tenney, LCSW
• Julianne Connell

• Occupational Therapist in Bedford, NY
• Providers in Bedford, 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 Sep 19, 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.