Raymond Sullivan, OTR
Individual provider Active NPI Occupational Therapist · Pepperell, MA
NPI 1710199443 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710199443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 9232 (MA)
- Practice address
- 84 West St
Pepperell, MA 01463-1230 - Phone
- (978) 433-6784
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9232 | MA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9232 | MA | Yes |
Addresses
Primary practice location
84 West St
Pepperell, MA 01463-1230
Mailing address
84 West St
Pepperell, MA 01463-1230
Phone (978) 433-6784
Other providers in Pepperell, MA
- Elizabeth Anne Selinger
- Dhruti Shah
- Pranshu Sharma
- Southern New Hampshire Medical Center
- David M Spiegelman
- Vivian Parastoo Tahmasbi
- Mariesa Torpey
- Town of Pepperell
- Lauren Mae Tucci
- Emma Tumboh
All providers in Pepperell, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.