Kaitlin O'Sullivan, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

08497 Issued in MD

Practice address

4924 Campbell Blvd Ste 130a
Nottingham, MD 21236

Phone

(443) 442-2300

NPI assigned

Jul 20, 2018

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1770060998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S POTOMAC ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD STE 130A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "443-442-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4924 Campbell Blvd Ste 130A",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212365909",
            "country_code": "US",
            "telephone_number": "443-442-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "KAITLIN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Cori Nussbaum, LCPC
• Mary E O'Brien, PHARMD
• Kyleigh O'Donnell
• Patrice O'Donnell, LCPC
• Amy Jo O'Neill, APRN, CRNP-PMH
• Oaks Dynamics Incorporated
• Oaks Dynamics Incorporated
• Lorraine Beatrice Ofori-Awuah, MD
• Shetia Ogle
• Pearl Ojiere

• Occupational Therapist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.