Individual provider Active NPI

James F. Sullivan, OTRL

  • Occupational Therapist
  • Asheville, NC
National Provider Identifier
1932279155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2305 Issued in NC
Practice address
184 E Chestnut St
Suite 2
Asheville, NC 28801-2377
Phone
(828) 250-0474
Fax
(828) 250-0767
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2305 NC Primary

Addresses

Primary practice location

184 E Chestnut St
Suite 2
Asheville, NC 28801-2377

Mailing address

56 Sherwood Rd
Asheville, NC 28803-2436
Phone (828) 253-6142

Other identifiers 1

IdentifierTypeStateIssuer
13401OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000974 NC Practitioner - Occupational Therapist in Private Practice 6800843137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

184 E Chestnut St
Suite 7
Asheville, NC 28801-2377
Phone (828) 257-2227

184 E Chestnut St
Suite 7
Asheville, NC 28801-2576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Therapy of Asheville, PA Occupational Therapist CurrentSince Jun 1, 2010 Accepting new patients
Centerimt Asheville NC Inc Occupational Therapist Past Accepting new patients

Locations

184 E Chestnut St
Ste 7
Asheville, NC 28801
Phone (828) 257-2227

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932279155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SHERWOOD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032436",
            "telephone_number": "828-253-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E CHESTNUT ST",
            "address_2": "SUITE 2",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012377",
            "telephone_number": "828-250-0474",
            "fax_number": "828-250-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.