Active NPI
Meredith Stewart Sullivan, MSOT, OTR/L
- Occupational Therapist
- Fairhope, AL
National Provider Identifier
1821514357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18675
- Practice address
- 534 Kensley Ave
Fairhope, AL 36532-7146 - Phone
- (850) 509-3923
- NPI assigned
- Aug 16, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT18675 | FL | Primary |
Addresses
Primary practice location
534 Kensley Ave
Fairhope, AL 36532-7146
Mailing address
534 Kensley Ave
Fairhope, AL 36532-7146
Phone (850) 509-3923
Other practice location 1
534 Kensley Ave
Fairhope, AL 36532-7146
Phone (850) 509-3923
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 |
|---|---|---|---|
| OT18675 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1821514357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 KENSLEY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365327146",
"telephone_number": "850-509-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 KENSLEY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365327146",
"telephone_number": "850-509-3923"
}
],
"practiceLocations": [
{
"address_1": "534 Kensley Ave",
"address_purpose": "LOCATION",
"city": "Fairhope",
"state": "AL",
"postal_code": "365327146",
"country_code": "US",
"telephone_number": "850-509-3923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "MEREDITH",
"middle_name": "STEWART",
"name_prefix": "Mrs.",
"credential": "MSOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.