Active NPI
Terri Sullivan, OT
- Occupational Therapist
- Bismarck, ND
National Provider Identifier
1295757698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 371
- Practice address
- 310 N 9TH St
Bismarck, ND 58501-4508 - Phone
- (701) 530-8800
- Fax
- (701) 530-8763
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 371 | ND | Primary |
Addresses
Primary practice location
310 N 9TH St
Bismarck, ND 58501-4508
Mailing address
310 N 9TH St
Bismarck, ND 58501-4508
Phone (701) 530-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54921 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 N 9TH St
Bismarck, ND 58501-4515
Phone (701) 946-7500
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.67 of 100
- Quality
- 80.89
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 75.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- terrisullivan@tbjpc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Bismarck, ND
- NPI 1750307872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295757698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014508",
"telephone_number": "701-530-8800",
"fax_number": "701-530-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014508",
"telephone_number": "701-530-8800",
"fax_number": "701-530-8763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "TERRI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54921",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.