Active NPI
Ashley Sullivan I, OTR/L
- Occupational Therapist
- Sussex, WI
National Provider Identifier
1740742816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6487-26
- Practice address
- N58W24552 Raven CT
Sussex, WI 53089-5050 - Phone
- (262) 893-9509
- NPI assigned
- Apr 5, 2019
- 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 | 6487-26 | WI | Primary |
Addresses
Primary practice location
N58W24552 Raven CT
Sussex, WI 53089-5050
Mailing address
N58W24552 Raven CT
Sussex, WI 53089-5050
Phone (262) 893-9509
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6487-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1740742816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N58W24552 RAVEN CT",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530895050",
"telephone_number": "262-893-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N58W24552 RAVEN CT",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530895050",
"telephone_number": "262-893-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ASHLEY",
"name_suffix": "I",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6487-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.