Jadyn Elizabeth Sullivan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

031180 Issued in NY

Practice address

70 Brentwood Rd
Bay Shore, NY 11706-6947

Phone

(516) 493-7708

NPI assigned

May 28, 2026

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

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1679404412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MORRIS AVE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552718",
            "telephone_number": "516-493-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066947",
            "telephone_number": "516-493-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JADYN",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "031180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suffolk Surgical Associates PC
• Suffolk Urology Associates, P.C.
• Joshua Navindra Suknanan, BSN, RN, CWCN
• Kathleen M Sullivan-Murphy, CCC, SLP
• Jacqueline S Sullivan, P.A.
• Janine Sullivan, RN
• Matthew Sumicad
• Sun Ray Super Drugs Inc.
• Sun Ray Super Drugs Inc.
• Sunrise Manor Nursing Home, Inc.

• Occupational Therapist in Bay Shore, NY
• Providers in Bay Shore, 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 May 28, 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.

Verify at the official NPI Registry.