KIM SUDAMA
NPI 1700929601
Occupational Therapist - Pediatrics in Bay Shore, NY

Active since February 14, 2007
1428 5TH AVE, BAY SHORE, NY 11706(631) 392-0081 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Sudama NPPES

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

KIM SUDAMA (NPI 1700929601) is an individual pediatrics provider in Bay Shore, New York, licensed in New York (012854) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1700929601
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameKIM SUDAMA
Location Address1428 5TH AVEBay Shore, NY 11706-4147
Mailing Address133 Grassy Pond DrSmithtown, NY 11787-4273 · (516) 906-8957
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
NPI 1700929601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License Licensed in NY · 012854
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
1428 5TH AVE, Bay Shore, NY 11706

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.

Psychologist (School)
1428 5TH AVE
BAY SHORE, NY 11706
Physical Therapist
1428 5TH AVE
BAY SHORE, NY 11706
Speech-Language Pathologist
1428 5TH AVE
BAY SHORE, NY 11706
Speech-Language Pathologist
1428 5TH AVE
BAY SHORE, NY 11706
Occupational Therapist
1428 5TH AVE
BAY SHORE, NY 11706
Occupational Therapist
1428 5TH AVE
BAY SHORE, NY 11706
Social Worker (School)
1428 5TH AVE
BAY SHORE, NY 11706
Speech-Language Pathologist
1428 5TH AVE
BAY SHORE, NY 11706

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 Kim Sudama's NPI number?

The NPI number for Kim Sudama is 1700929601. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Kim Sudama located?

Kim Sudama practices at 1428 5th Ave, Bay Shore, NY 11706. The listed phone number is (631) 392-0081.

What is Kim Sudama's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

When was this NPI record last updated?

The NPPES record for Kim Sudama was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.