Suzanne Denise Suddath, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OA367 Issued in OK

Practice address

4350 Will Rogers Pkwy
Suite 600
Oklahoma City, OK 73108-1826

Phone

(800) 687-5345

Fax

(405) 948-2807

NPI assigned

Jan 5, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehabsource-Therapy at Work, LLC

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
  • NPI 1073777991
  NPD (past)
• Rehabsource, LLC

  • Occupational Therapist
  • Oklahoma City, OK
  • NPI 1063425023
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1922496512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 S REDWOOD AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111474",
            "telephone_number": "918-695-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WILL ROGERS PKWY",
            "address_2": "SUITE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081826",
            "telephone_number": "800-687-5345",
            "fax_number": "405-948-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDATH",
        "first_name": "SUZANNE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "OA367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Ethan Subera
• Justin Sublett
• Suboxone Solutions LLC
• Substance Abuse Foundatiion for Educaiton
• Kelly Eugenia Sucher
• Rebecca Michelle Suddock, MS,RD/LD,CSP
• Summer Suffridge, MSSA
• Fnu Sufyan Ibrahim, MBBS
• Sugar Sweet Rehabilitation Services
• Joneisha Suggs

• Occupational Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.