Mary A. O'Sullivan, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 12835 Issued in FL

Practice address

646 E. Delavan
Room 127
Buffalo, NY 14215

Phone

(716) 816-4174

Fax

(941) 359-1555

NPI assigned

Aug 7, 2007

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

Other identifiers 2

Other names 1

• Mary A. Tomasello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1306037130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 E. DELAVAN",
            "address_2": "ROOM 127",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14215",
            "telephone_number": "716-816-4174",
            "fax_number": "941-359-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 E. DELAVAN",
            "address_2": "ROOM 127",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14215",
            "telephone_number": "716-816-4174",
            "fax_number": "941-359-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "MARY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 12835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000385100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892350700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TOMASELLO",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan M O'Neill, LMT
• Olha Anna O'Quinn, PHD, CDN, CDE
• Kelsea O'Rourke
• Lawrence Robert O'Shea III
• Jeremiah O'Sullivan, MD
• Meghan O'Sullivan
• Whitney Brianne Oaks
• Dana Irene Oar, M.ED., LMT
• Ivan Oasay
• Oasis Adult Day Care

• Occupational Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.