Cierra Sullivan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3706 Issued in SC

Practice address

207 N Maple St Ste 12
Simpsonville, SC 29681-2338

Phone

(864) 320-7244

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1689138489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARADE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052751",
            "telephone_number": "864-363-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N MAPLE ST STE 12",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812338",
            "telephone_number": "864-320-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CIERRA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Straw, MS CCC-SLP
• Sharon Blaiz Streetman-Loy, PHD, LISW-CP
• Crystal Nicole Stroh
• Susan Elaine Stromer, R.N.
• Ashanti Sullivan, RN
• Ronnette Latrice Sumler
• Summit Place Living Center, LLC
• Summit Speech & Language
• Janine Carla Dijan Sunga, DPT
• Suns Physical Therapy LLC

• Occupational Therapy Assistant in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.