Amanda B O'Sullivan, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003587 Issued in NY

Practice address

225 Merrick Rd
Lynbrook, NY 11563-2621

Phone

(516) 599-8734

NPI assigned

Oct 21, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1841899762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CATHERINE ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632621",
            "telephone_number": "516-599-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amanda.osullivan@ivyrehab.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "225 Merrick Rd",
            "city": "Lynbrook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115632621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine O'Connell, PT
• Colleen M O'Donnell, LCAT
• Margaret Marion O'Donnell, A.N.P
• Leigh Anne O'Malley
• Tara O'Rourke, LMT
• Yvonne Ofori, LPN
• Dinorka Ogando
• Crystal Ogir, OTR/L
• Jaimie Oliver, LMHC
• Antonio E. Oliviero, D.D.S.

• Athletic Trainer in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.