Anne Therese Sullivan, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002225 Issued in IA

Practice address

500 E. Market Street
Iowa City, IA 52245

Phone

(319) 339-3875

Fax

(319) 358-4684

NPI assigned

Sep 11, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progressive Rehab Chiropractic, L.L.C.

  • Chiropractor
  • Tipton, IA
  • NPI 1467967919
  NPD (past)
• Progressive Rehabilitation Associates L.L.C.

  • Physical Therapist
  • Iowa City, IA
  • NPI 1851462865
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1720507841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406631",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E. MARKET STREET",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-339-3875",
            "fax_number": "319-358-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNE",
        "middle_name": "THERESE",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06-65463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisuke Sugiyama, MDPHD
• Dongjin Suh, M.D.
• Promporn Suksaranjit, M.D.
• Leonardil Sula
• Suha Suleman
• Benjamin Jacob Sullivan, PA-C
• Breanna Marie Sullivan, MD
• Jaclyn Sullivan, PHARMD
• Shannon J Sullivan, MD
• Summer Gold Counseling LLC

• Occupational Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.