Individual provider Active NPI

Lovely Noell Sultenfuss, OTD, OTR/L

  • Occupational Therapist
  • Apollo Beach, FL
National Provider Identifier
1033822838
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23792 Issued in FL
Practice address
6520 Richies Way
Apollo Beach, FL 33572-2125
Phone
(813) 641-1922
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT23792 FL Primary

Addresses

Primary practice location

6520 Richies Way
Apollo Beach, FL 33572-2125

Mailing address

6520 Richies Way
Apollo Beach, FL 33572-2125
Phone (813) 641-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT23792FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Beach Therapy Center LLC Occupational Therapist CurrentSince Jan 8, 2023 Accepting new patients

Locations

6520 Richies Way
Apollo Beach, FL 33572
Phone (813) 641-1922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1033822838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 RICHIES WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722125",
            "telephone_number": "813-641-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 RICHIES WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722125",
            "telephone_number": "813-641-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTENFUSS",
        "first_name": "LOVELY",
        "middle_name": "NOELL",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.