Individual provider Active NPI

Susan Wasner, OTR/L

  • Occupational Therapist
  • Buffalo, NY
National Provider Identifier
1902095441
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010805-1 Issued in NY
Practice address
50 E North St
Buffalo, NY 14203-1002
Phone
(716) 885-8318
Fax
(716) 885-0229
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NY
Occupational Therapist 225X00000X 010805-1 NY Primary

Addresses

Primary practice location

50 E North St
Buffalo, NY 14203-1002

Mailing address

617 Crescent Ave
East Aurora, NY 14052-2903
Phone (716) 348-7530

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
010805NYMDMental Health Counselor
010805-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Physical and Occupational Therapy Group PLLC Occupational Therapist PastSince Jul 26, 2023 Accepting new patients

Organizations & group practices 1

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1902095441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CRESCENT AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522903",
            "telephone_number": "716-348-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031002",
            "telephone_number": "716-885-8318",
            "fax_number": "716-885-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASNER",
        "first_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010805-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.