Antonina Rosaria Sullivan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010433 Issued in IL

Practice address

10350 Brenner CT
Naperville, IL 60564

Phone

(630) 664-6488

NPI assigned

Feb 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1154745891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23837 ROYAL WORLINGTON DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 BRENNER CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-664-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANTONINA",
        "middle_name": "ROSARIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "056010433",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Byung Jun Suh, D.C.
• Kristen Suing, PSY.D.
• Rachel Sulfridge
• Madeline Sullenberg
• Sullivan Speech Therapy PLLC
• Janet Groesch Sullivan, ATC
• Kimberly Deus Sullivan, PSY.D., M.A.
• Megan Ann Sullivan, PSYD
• Monica Marie Sullivan, LCPC
• Ryan Ridgway Sullivan, MD

• Occupational Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.