Individual provider Active NPI

Amy Lynn Susskind, OTR/L

  • Occupational Therapist
  • Maitland, FL
National Provider Identifier
1912220369
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14021 Issued in FL
Practice address
140 Tonina CV
Suite 100
Maitland, FL 32751-3442
Phone
(407) 388-0246
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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 14021 FL Primary

Addresses

Primary practice location

140 Tonina CV
Suite 100
Maitland, FL 32751-3442

Mailing address

140 Tonina CV
Suite 100
Maitland, FL 32751-3442
Phone (407) 388-0246

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
14021FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A.LL Therapy Connection Inc Occupational Therapist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1912220369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TONINA CV",
            "address_2": "SUITE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513442",
            "telephone_number": "407-388-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TONINA CV",
            "address_2": "SUITE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513442",
            "telephone_number": "407-388-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSKIND",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "14021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.