Louise Marie Sullivan

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

004704 Issued in NY

Practice address

576 5TH Ave
Troy, NY 12182-2536

Phone

(518) 233-6822

NPI assigned

Jan 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Lansingburgh Central School District

  • Local Education Agency (LEA)
  • Troy, NY
  • NPI 1013074228
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1265770689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WILLOWDALE TER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051923",
            "telephone_number": "518-459-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121822536",
            "telephone_number": "518-233-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LOUISE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "004704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Arthur Strumpf, MD
• Deirdre Stynes, M.S. ED., TVI
• Stefanie Ann Sudduth, M.M.
• Richard Sulkow, MD
• Cristin Sullivan, LMSW
• Charles M Sulzman, MD
• Timothy Summers
• Shobharani Chitra Sundaram, M.D.
• Sunday Morning Speech Company
• Steve Sung, MD

• Pediatric Occupational Therapist in Troy, NY
• Providers in Troy, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.