Active NPI
Sally Ann Dull, CTRS
- Recreation Therapist
- Hastings, MI
National Provider Identifier
1932602257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 2700 Nashville Rd
Hastings, MI 49058-8824 - Phone
- (269) 945-1301
- NPI assigned
- Mar 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary |
Addresses
Primary practice location
2700 Nashville Rd
Hastings, MI 49058-8824
Mailing address
2700 Nashville Rd
Hastings, MI 49058-8824
Phone (269) 945-1301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23847 | Other | NCTRC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1932602257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 NASHVILLE RD",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490588824",
"telephone_number": "269-945-1301",
"fax_number": "269-945-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NASHVILLE RD",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490588824",
"telephone_number": "269-945-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULL",
"first_name": "SALLY",
"middle_name": "ANN",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCTRC",
"identifier": "23847",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.