Caitlin Sullivan, MOT, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3511 Corinth Pkwy
Corinth, TX 76208

Phone

(940) 270-3400

NPI assigned

Sep 3, 2015

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

Other names 1

• Caitlin Gannaway Former name

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1851769186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 CORINTH PKWY",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CORINTH PKWY",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-270-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 W Imboden Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625215238",
            "country_code": "US",
            "telephone_number": "217-422-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CAITLIN",
        "credential": "MOT, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "GANNAWAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Sterenberg, LPC ASSOCIATE
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• Kimberly Ann Tauaefa

• Occupational Therapist in Corinth, TX
• Providers in Corinth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.