Erin Marie Sullivan, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

025377-01 Issued in NY

Practice address

255 Executive Dr Ste Ll108
Plainview, NY 11803-1707

Phone

(516) 576-2040

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  Medicare reassignment NPD

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1083206544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N GROVE ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803411",
            "telephone_number": "516-578-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EXECUTIVE DR STE LL108",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031707",
            "telephone_number": "516-576-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "025377-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lynn Stubing, PNP
• Subbarao Bhimani MD PC
• Payal Sud, MD
• Rachel Sudran
• Rachel N Sudran
• Judy Sung, D.O.
• Sunny Shore Occupational Therapy Services
• Superior Maintenance Supply LLC (1Stop Medical Supplies)
• Lindsay Dawn Sussman, LMSW
• Michelle Esta Sussman, M.S., CCC-SLP, TSHH

• Pediatric Occupational Therapist in Plainview, NY
• Providers in Plainview, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.