Laura Sullivan, OTR/L
Individual provider Active NPI Occupational Therapist · Wilton, NY
NPI 1164833232 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1164833232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 018288-1 (NY)
- Practice address
- 30 Sheffield Rd
Wilton, NY 12831-1494 - Phone
- (646) 825-1722
- NPI assigned
- May 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018288-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play Move Grow Occupational Therapy PLLC | Occupational Therapist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 018288-1 | NY | Yes |
Addresses
Primary practice location
30 Sheffield Rd
Wilton, NY 12831-1494
Mailing address
30 Sheffield Rd
Wilton, NY 12831-1494
Phone (646) 825-1722
Other providers in Wilton, NY
- Melissa J Pikor
- Jessica Katherine Purvis
- Rooted Physical Therapy, PLLC
- Nina Singh
- Robin M Solomon
- TLC Medical Clinic
- Samantha M Torre
- Joseph Trapp
- Veda House, LLC
- Penny Sue Warrington
All providers in Wilton, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.