Active NPIIndividual providerSole proprietor

Holly A Suriano, MS OTR/L

Occupational Therapist in Bethel, Connecticut

NPI Number1538249164
Practice location
121 Codfish Hill RD, Bethel, CT 06801
Fax
—
Last updated
August 15, 2018

Holly Amber Suriano is an Occupational Therapist based in Bethel, CT. Holly Amber Suriano practices in Bethel, CT and has the professional credentials of MS OTR/L. The NPI Number for Holly Amber Suriano is 1538249164 and holds a License No. 004075 (CT). The current practice location address for Holly Amber Suriano is 121 Codfish Hill RD, Bethel, CT 06801 and can be reached out via phone at 475-279-0347.

Provider Profile Details

NPI Number
1538249164
Provider Name
Holly Amber Suriano
Credential
MS OTR/L
Provider Entity Type
Individual
Gender
Female
Address
121 Codfish Hill RD, Bethel, CT 06801
Phone Number
475-279-0347
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Other Names
Holly Amber Polmateer (Former Name)
Provider Enumeration Date
October 17, 2006
Last Update Date
August 15, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Codfish Hill RD
Bethel, CT 06801
City
Bethel
Zip
06801
Phone Number
475-279-0347
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
121 Codfish Hill RD
Bethel, CT 06801-3203
City
Bethel
State
CT
Zip
06801-3203
Phone Number
475-279-0347

License Information

License Number (1)
004075
License State (1)
CT
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
License Number (2)
012799
License State (2)
NY
Taxonomy (2)
Occupational Therapist · 225X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Holly A Suriano, MS OTR/L?

The NPI number of Holly A Suriano, MS OTR/L is 1538249164. It was assigned on October 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Holly A Suriano, MS OTR/L?

Holly A Suriano, MS OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 004075.

Where does Holly A Suriano, MS OTR/L practice?

The practice location is 121 Codfish Hill RD, Bethel, CT 06801. The office can be reached at 475-279-0347 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538249164 directly on the NPPES registry website.

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