SUZANNE SPAK (NPI# 1033126305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033126305 |
| Entity Type | Individual |
| Full Name | SUZANNE SPAK |
| Credential | OTR |
| Practice Address |
2 Trap Falls Rd Ste 404 Shelton CT 06484-7622 |
| Practice Telephone | 2037347900 |
| Practice Fax Number | 2035133269 |
| Mailing Telephone | 2037347900 |
| Mailing Fax Number | 2035133269 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 002804 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2 TRAP FALLS RD STE 404 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429619 | Ignatius Komninakas | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2005-06-30 |
| 1053919019 | Hanna Mary Gleason | Physical Therapist | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2020-10-13 |
| 1194372284 | Jason Martin Nobrega | Physician Assistant | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2019-08-22 |
| 1417315227 | Kellie Fitzgerald | Physical Therapist | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2016-02-08 |
| 1508151499 | Chanakya Kumar Jandhyala | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2011-06-18 |
| 1184948911 | Megan M Gleason | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2010-03-23 |
| 1114162633 | Valley Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 2 Trap Falls Rd Ste 404, Shelton, CT 06484 | 2008-12-12 |
| 1528148244 | Lorraine M Diaz | Physical Therapist | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-10-17 |
| 1083794796 | Valley Orthopaedic Specialists LLC | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-10-17 |
| 1154414282 | Sean Muldoon | Physician Assistant | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447738984 | Amylynne Sargent | Occupational Therapist | 700 E Jared Rd, Shelton, WA 98584-7060 | 2018-08-06 |
| 1184127482 | Emily Terese Mengle | Occupational Therapist | 708a Bridgeport Ave, Shelton, CT 06484-4719 | 2018-03-13 |
| 1215325329 | Barbara Joanna Belicia | Occupational Therapist | 1000 Bridgeport Ave Fl 3, Shelton, CT 06484-4660 | 2014-12-26 |
| 1952708513 | Meghan Fera | Occupational Therapist | 7 Barbara Dr, Shelton, CT 06484-4201 | 2014-11-25 |
| 1518360742 | Wilbur Jagoriles Perono | Occupational Therapist | 99 Richard Blvd, Shelton, CT 06484-4387 | 2014-10-02 |
| 1275961047 | Julie E Macdonald | Occupational Therapist | 611 E Agate Rd, Shelton, WA 98584-7306 | 2013-10-14 |
| 1811254519 | Naomi Elizabeth Mork | Occupational Therapist | 112 E Spencer Lake Rd, Shelton, WA 98584-7307 | 2012-04-19 |
| 1922314715 | Amanda Buono | Occupational Therapist | 580 Long Hill Avenue, Shelton, CT 06484 | 2010-08-31 |
| 1114189339 | Mary Ann Mijanovich | Occupational Therapist | 1850 Se Crescent Dr, Shelton, WA 98584-8670 | 2008-06-29 |
| 1801082326 | Carol Stormer | Occupational Therapist | 153 Johns Ct Ste 220, Shelton, WA 98584-8225 | 2007-09-18 |
| Find all providers in SHELTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.