Active NPI
Kelsey Mays Sullivan
- Occupational Therapist
- Danvers, MA
National Provider Identifier
1659084408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14082
- Practice address
- 100 Independence Way Ste D4
Danvers, MA 01923-3875 - Phone
- (860) 819-1783
- NPI assigned
- Dec 26, 2022
- 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 | 14082 | MA | Primary |
Addresses
Primary practice location
100 Independence Way Ste D4
Danvers, MA 01923-3875
Mailing address
31 Parmenter St Apt 2
Boston, MA 02113-2370
Phone (860) 819-1783
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 |
|---|---|---|---|
| 14082 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1659084408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 PARMENTER ST APT 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021132370",
"telephone_number": "860-819-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDEPENDENCE WAY STE D4",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233875",
"telephone_number": "860-819-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "KELSEY",
"middle_name": "MAYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.