Active NPI
Jennifer Sullivan, OTR/L
- Occupational Therapist
- Brighton, MA
National Provider Identifier
1316279409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7941
- Practice address
- 45 S Crescent Circuit
Brighton, MA 02135-3045 - Phone
- (617) 697-8120
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 7941 | MA | Primary |
Addresses
Primary practice location
45 S Crescent Circuit
Brighton, MA 02135-3045
Mailing address
45 S Crescent Circuit
Brighton, MA 02135-3045
Phone (617) 697-8120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7941 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1316279409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 S CRESCENT CIRCUIT",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353045",
"telephone_number": "617-697-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 S CRESCENT CIRCUIT",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353045",
"telephone_number": "617-697-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JENNIFER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "7941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.