Lisa Marie Sullivan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007496 Issued in OH

Practice address

4320 Bridgetown Rd
Cincinnati, OH 45211-4428

Phone

(513) 574-4550

NPI assigned

Feb 22, 2021

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

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1063006997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MITCHELL BLVD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302197",
            "telephone_number": "513-205-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452114428",
            "telephone_number": "513-574-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT007496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Sullivan, MD
• Karen Diane Sullivan, M.D.
• Larae Sullivan
• Laura Rene Sullivan
• Leah Sullivan
• Lynn Thuy Sullivan, APRN
• Margaret M Sullivan, LSW
• Shawna Sullivan, LPN
• Susan Claire Sullivan, P.T.
• Thomas Ryan Sullivan, DC

• Occupational Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.