Active NPIIndividual provider

Nicole A Sullivan, OTR/L

Occupational Therapist in Dedham, Massachusetts

NPI Number1538795794
Practice location
7000 Great Meadow RD, Dedham, MA 02026-4090
Fax
—
Last updated
March 19, 2020

Nicole Anne Sullivan is an Occupational Therapist based in Dedham, MA. Nicole Anne Sullivan practices in Dedham, MA and has the professional credentials of OTR/L. The NPI Number for Nicole Anne Sullivan is 1538795794 and holds a License No. 12631 (MA). The current practice location address for Nicole Anne Sullivan is 7000 Great Meadow RD, Dedham, MA 02026-4090 and can be reached out via phone at 781-234-9500.

Provider Profile Details

NPI Number
1538795794
Provider Name
Nicole Anne Sullivan
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
7000 Great Meadow RD, Dedham, MA 02026-4090
Phone Number
781-234-9500
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 19, 2020
Last Update Date
March 19, 2020
Certification Date
March 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
7000 Great Meadow RD
Dedham, MA 02026-4090
City
Dedham
Zip
02026-4090
Phone Number
781-234-9500
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
44 Greendale Ave # 2
Worcester, MA 01606-2228
City
Worcester
State
MA
Zip
01606-2228

License Information

License Number
12631
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole A Sullivan, OTR/L?

The NPI number of Nicole A Sullivan, OTR/L is 1538795794. It was assigned on March 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Nicole A Sullivan, OTR/L?

Nicole A Sullivan, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 12631.

Where does Nicole A Sullivan, OTR/L practice?

The practice location is 7000 Great Meadow RD, Dedham, MA 02026-4090. The office can be reached at 781-234-9500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538795794 directly on the NPPES registry website.

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