LYDIA ANN SURA MOT, OTR/L
NPI 1396201547
Occupational Therapist in Jacksonville, FL

Active since February 13, 2019Accepts Medicare Assignment
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 29, 2020, Oct 15, 2020, Feb 13, 2019 (3 updates tracked since 2019).

About Lydia Ann Sura Mot, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA ANN SURA MOT, OTR/L (NPI 1396201547) is an individual occupational therapist in Jacksonville, Florida, licensed in Florida (OT18699) and active in the NPI registry since February 2019. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1396201547
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameLYDIA ANN SURACredential: MOT, OTR/L
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 13, 2019
Last NPPES UpdateDecember 29, 20203 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1396201547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in FL · OT18699
Definition
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.
4500 SAN PABLO RD S, Jacksonville, FL 32224

Other Names 1

Former Name (1)Lydia Boyle Mot, Otr/l

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lydia Ann Sura Mot, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193138378
PECOS Enrollment IDI20210107000639

Medicare Billing Reassignment

Medicare enrollment records show Lydia Sura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Sura's NPI number?

The NPI number for Lydia Sura is 1396201547. It was assigned to this individual provider in the NPPES registry on February 13, 2019. The provider is also known as Lydia Boyle Mot, Otr/L.

Where is Lydia Sura located?

Lydia Sura practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Lydia Sura's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Lydia Sura enrolled in Medicare?

Yes. Lydia Sura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lydia Sura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Sura reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Sura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Sura accept?

Health plans from Sanford Health Plan list Lydia Sura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia Sura was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.