Anthony Sully, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

4890 Issued in SC

Practice address

197 Piedmont Blvd Ste 205
Rock Hill, SC 29732-1846

Phone

(803) 639-8066

NPI assigned

Feb 17, 2015

Sex

Male

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

Practice roles

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.

• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775
  NPD (past)

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1164813846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PIEDMONT BLVD STE 205",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321846",
            "telephone_number": "803-639-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLY",
        "first_name": "ANTHONY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "9482",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "4890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Melissa Suffolk
• Angela Marie Sugameli, PT
• Brendan Michael Sullivan, PT
• Brittany Sullivan, ATC
• Mary R. Sullivan, CRNA
• Jasmine Deon Summerour
• Kristie Isler Summers, OTR/L
• Silvana Summers, M.A. CRC
• Martha Sumner
• Michael Anand Sundararaman, MD

• Pediatric Occupational Therapist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.