Sydney Claire Sullicant, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7141 Issued in TN

Practice address

160 S Hollywood St
Memphis, TN 38112-4801

Phone

(615) 649-5432

NPI assigned

Sep 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shelby County Board of Education

  • Local Education Agency (LEA)
  • Memphis, TN
  • NPI 1720496425
  NPD (past)

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1043047558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MAINSTREAM DR STE 220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281261",
            "telephone_number": "615-649-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S HOLLYWOOD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124801",
            "telephone_number": "615-649-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLICANT",
        "first_name": "SYDNEY",
        "middle_name": "CLAIRE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sugar Pros PC
• Jecarta Bernadette Suggs, BLS
• Debra Mehuron Suiter, PH.D.
• Ali Y Suliman, MD, MSC
• Allison M. Sulkowski, M.A., CCC-SLP
• Michael A Sullivan-Tibbs, LCSW, LCAC
• Adrienne Claire Sullivan
• Anne Lorraine Self Sullivan, MD
• Catherine Brooke Sullivan, PHARM.D.
• Chuck Sullivan

• Occupational Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.