Active NPI
Jaime Sullivan, LMT
- Mechanotherapist
- Ocala, FL
National Provider Identifier
1780028472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA63388
- Practice address
- 2405 SE 17TH St
Suite 401
Ocala, FL 34471-9192 - Phone
- (352) 280-0095
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA63388 | FL | Primary |
Addresses
Primary practice location
2405 SE 17TH St
Suite 401
Ocala, FL 34471-9192
Mailing address
2405 SE 17TH St
Suite 401
Ocala, FL 34471-9192
Phone (952) 280-0095
Other names 1
- Jaime Miller
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA63388 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1780028472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 SE 17TH ST",
"address_2": "SUITE 401",
"city": "OCALA",
"state": "FL",
"postal_code": "344719192",
"telephone_number": "952-280-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 SE 17TH ST",
"address_2": "SUITE 401",
"city": "OCALA",
"state": "FL",
"postal_code": "344719192",
"telephone_number": "352-280-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JAIME",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA63388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "MILLER",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.