Individual provider Active NPI

Corie Sullivan, OT

  • Occupational Therapist
  • Norfolk, VA
National Provider Identifier
1144383878
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119000752 Issued in VA
Practice address
301 Riverview Ave Ste 400
Norfolk, VA 23510-1065
Phone
(757) 252-1750
Fax
(833) 627-5148
NPI assigned
Dec 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119000752 VA Primary
Occupational Therapist 225X00000X 04650 MD

Addresses

Primary practice location

301 Riverview Ave Ste 400
Norfolk, VA 23510-1065

Mailing address

301 Riverview Ave Ste 400
Norfolk, VA 23510-1065
Phone (757) 252-1750

Other practice location 1

8109 Ritchie Hwy
Pasadena, MD 21122-6917
Phone (301) 581-8054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017000317 VA Practitioner - Occupational Therapist in Private Practice 8224304480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Dominion UniversityGroup PAC ID 3476770520, 13 clinicians

Practice addresses (Care Compare)

1015 W 47TH St
Norfolk, VA 23529-0001

1019 W
41St
Norfolk, VA 23529-0047
Phone (757) 683-7041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119000752VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Occupational Therapist CurrentSince Sep 22, 2025 Accepting new patients
Old Dominion University Occupational Therapist CurrentSince Aug 1, 2017 Accepting new patients
Sentara Therapy Solutions, LLC Occupational Therapist CurrentSince Sep 22, 2025 Accepting new patients

Locations

301 Riverview Ave
Ste 400
Norfolk, VA 23510
Phone (757) 252-1700

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

Organizations & group practices 3

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": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1144383878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 400",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101065",
            "telephone_number": "757-252-1750",
            "fax_number": "833-627-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 400",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101065",
            "telephone_number": "757-252-1750",
            "fax_number": "833-627-5148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8109 Ritchie Hwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211226917",
            "country_code": "US",
            "telephone_number": "301-581-8054",
            "fax_number": "301-564-0284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CORIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119000752",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "04650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.