Milissa Lynn Sullivan, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R0951 Issued in KY

Practice address

118 S Main St
Dry Ridge, KY 41035

Phone

(859) 824-7007

Fax

(859) 824-7077

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

• Ms. Milissa Pelfrey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H2 Rehabilitation Services of Kentucky, LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Paducah, KY
  • NPI 1659036846
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881600054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911148",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405911148",
            "telephone_number": "859-278-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "41035",
            "telephone_number": "859-824-7007",
            "fax_number": "859-824-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MILISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R0951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILISSA",
            "last_name": "PELFREY",
            "prefix": "MS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan William Rich, DMD
• William Kendall Rich, DMD
• Tina Maria Richardson
• Holly Lyn Stahl, RPH
• Autumn Stoddard, RBT
• Swiss Enterprises, Inc. (Chiropractic Affiliates of Kentucky)
• Kelly Johns Taylor, ST
• Timothy J. McMahon, D.M.D, PSC, Dba Comfort Dentistry
• Total Home Senior Care LLC
• Sandra J Utter, MD

• Occupational Therapist in Dry Ridge, KY
• Providers in Dry Ridge, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.