Denise Sullivan, OCCUPATIONAL THERAPI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

264 Issued in ME

Practice address

357 Tuttle Road
Cumberland, ME 04021

Phone

(207) 829-4835

Fax

(207) 829-4802

NPI assigned

Aug 16, 2010

Last updated

Aug 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Msad #51

  • Local Education Agency (LEA)
  • Cumberland, ME
  • NPI 1578778486
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1306151261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6A",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "04021",
            "telephone_number": "207-829-4835",
            "fax_number": "207-829-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TUTTLE ROAD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "04021",
            "telephone_number": "207-829-4835",
            "fax_number": "207-829-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DENISE",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila-Ruth Smith, OT/L
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• Holly St. Onge, OTR/L
• Storeysmith Pediatric Clinic
• Marina K S Thompson, MS, OTR/L
• Town of Cumberland
• Kylie Tremble, PTA
• Amy Vonseggern, COTA/L
• Jean West

• Occupational Therapist in Cumberland, ME
• Providers in Cumberland, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.