Kara Elisabeth Sullivan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12075 Issued in MA

Practice address

40 Montcalm Ave Unit 1
Brighton, MA 02135

Phone

(774) 291-1301

NPI assigned

Sep 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1104229723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MONTCALM AVE UNIT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352841",
            "telephone_number": "774-291-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MONTCALM AVE UNIT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "774-291-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Richmond Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016021532",
            "country_code": "US",
            "telephone_number": "774-291-1301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KARA",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "12075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Suher
• Trevor Sullivan-Smith
• Catherine W Sullivan, LICSW
• Jennifer Sullivan, OTR/L
• John G Sullivan, MD
• Kenna M. Sullivan, LICSW
• Sarah Sullivan
• Mark Ihab Sultan, MD
• Mengyue Sun
• Azadeh Suppappola, O.D.

• Occupational Therapist in Brighton, MA
• Providers in Brighton, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.