Active NPI
Allison Kelleher Sullivan
- Occupational Therapist
- Mendon, MA
National Provider Identifier
1497683312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12090
- Practice address
- 10 Mowry St
Mendon, MA 01756-1220 - Phone
- (413) 262-8747
- NPI assigned
- May 11, 2026
- 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 | 12090 | MA | Primary |
Addresses
Primary practice location
10 Mowry St
Mendon, MA 01756-1220
Mailing address
10 Mowry St
Mendon, MA 01756-1220
Phone (413) 262-8747
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 |
|---|---|---|---|
| 12090 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1497683312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MOWRY ST",
"city": "MENDON",
"state": "MA",
"postal_code": "017561220",
"telephone_number": "413-262-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MOWRY ST",
"city": "MENDON",
"state": "MA",
"postal_code": "017561220",
"telephone_number": "413-262-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ALLISON",
"middle_name": "KELLEHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.