SUSAN B SULLIVAN (NPI# 1659716215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659716215 |
| Entity Type | Individual |
| Full Name | SUSAN B SULLIVAN |
| Credential | COTA/L |
| Practice Address |
3248 Lithia Pinecrest Rd Valrico FL 33596-5682 |
| Mailing Address |
5428 Starling Ridge Dr Lithia FL 33547-3965 |
| Practice Telephone | 8136621366 |
| Mailing Telephone | 8133248270 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA 12503 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679900757 | Susan M Sullivan | Nurse Practitioner | 621 S New Ballas Rd Ste 228a, Saint Louis, MO 63141-8256 | 2013-10-03 |
| 1124382700 | Susan M Sullivan | Massage Therapist | 8655 Main St, Williamsville, NY 14221-7501 | 2012-06-28 |
| 1598031999 | Susan Kathleen Sullivan | Case Manager/Care Coordinator | 3123 Catrina Ln, Annapolis, MD 21403-4340 | 2012-03-29 |
| 1760755524 | Susan Griffin Sullivan | Counselor | 672 Wyndham Crossings Cir, Des Peres, MO 63131-2149 | 2012-02-09 |
| 1871882761 | Susan Lea Sullivan | Lactation Consultant, Non-RN | 6421 Lakewind Cir, Parker, CO 80134 | 2011-03-31 |
| 1366758286 | Susan Carol Sullivan | Marriage & Family Therapist | 4760 Sepulveda Boulevard, Culver City, CA 90230-4820 | 2010-08-30 |
| 1861698144 | Susan Huber Sullivan | Counselor | 407 W Warren St, Shelby, NC 28150-5329 | 2007-06-25 |
| 1427171214 | Susan Emma Sullivan | Developmental Therapist | 210 South Market, Bondville, IL 61815-0133 | 2007-04-09 |
| 1144359746 | Susan B Sullivan | Pharmacist | 9501 E Shea Blvd # Mc139, Scottsdale, AZ 85260-6719 | 2007-03-02 |
| 1144315607 | Susan Elizabeth Sullivan | Psychologist | 13 Welby Road, Suite 2, New Bedford, MA 02745-1132 | 2006-10-03 |
| Street Address |
3248 LITHIA PINECREST RD |
| City | VALRICO |
| State | FL |
| Zip Code | 33596-5682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598809931 | Teamus Lee Hughes | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd, Suite 101, Valrico, FL 33594-5682 | 2007-02-19 |
| 1811457542 | Emily J Waples | Occupational Therapist | 3248 Lithia Pinecrest Rd, Valrico, FL 33596-5682 | 2019-03-20 |
| 1144707381 | Austin Karathuruthel Abraham | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd, Valrico, FL 33596-5682 | 2018-07-20 |
| 1922475383 | Brianna Morris | Physical Therapist | 3248 Lithia Pinecrest Rd, Suite 102, Valrico, FL 33596-5682 | 2015-09-01 |
| 1982091369 | Valerie Kelley | Occupational Therapist | 3248 Lithia Pinecrest Rd, Suite 102, Valrico, FL 33596-5682 | 2015-04-23 |
| 1144613084 | Samantha Chu | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd, Suite 102, Valrico, FL 33596-5682 | 2015-03-17 |
| 1912330465 | Vaishali Kulkarni | Physical Therapist | 3248 Lithia Pinecrest Rd, Suite 102, Valrico, FL 33596-5682 | 2013-08-19 |
| 1619203718 | Latosha Nicole Solomon | Physical Therapist | 3248 Lithia Pinecrest Rd, Suite 102, Valrico, FL 33596-5682 | 2009-10-23 |
| 1639202278 | Christopher Micah Bluhm | Occupational Therapist | 3248 Lithia Pinecrest Rd, Valrico, FL 33594-5682 | 2007-03-13 |
| 1114056165 | Bryans M. Seland | Physical Therapist | 3248 Lithia Pinecrest Rd, Suite 101, Valrico, FL 33594-5682 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271983 | Barbara Jeanne Ross | Registered Nurse | 2322 Longmore Circle, Valrico, FL 33596 | 2019-02-15 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1487131645 | Nationwide Vision Center, LLC | Technician/Technologist | 2054 E Bloomingdale Ave, Valrico, FL 33596 | 2018-07-20 |
| 1952827305 | Alicia Marie Glasser | Counselor | 3011 Folklore Dr, Valrico, FL 33596 | 2017-08-17 |
| 1811443104 | Yosanna Melendez | Day Training, Developmentally Disabled Services | 4408 Kendal Ct, Valrico, FL 33596 | 2016-08-28 |
| 1689030181 | Wal-mart Stores East, Lp | Technician/Technologist | 2140 Bloomingdale Avenue, Valrico, FL 33596 | 2016-01-13 |
| 1841660008 | Tyler Bradney Love | Physical Therapist | 2470 Bloomingdale Ave, Valrico, FL 33596 | 2015-09-30 |
| 1528499761 | Madeline Horn | Registered Nurse | 2211 Lithia Center Ln, Valrico, FL 33596 | 2013-12-12 |
| 1740614635 | Dr James M Petro Od, Pa | Optometrist | 2140 E Bloomingdale Ave, Located In Wal-mart Vision Center, Valrico, FL 33596 | 2013-08-27 |
| 1134476294 | Ovia Voncile Stephens-oatman | Custodial Care Facility | 4220 Balington Dr, Valrico, FL 33596 | 2012-08-08 |
| Find all providers in zip 33596 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700231768 | Lauren Glenn | Occupational Therapy Assistant | 1711 Erin Brooke Dr, Valrico, FL 33594-4056 | 2016-04-27 |
| 1538579388 | Theresa Benefield | Occupational Therapy Assistant | 5323 Cottonwood Tree Cir, Valrico, FL 33596-8258 | 2014-05-02 |
| 1073761573 | Jennipher M Lenoir | Occupational Therapy Assistant | 4908 Willow Ridge Ter, Valrico, FL 33596-8238 | 2008-09-09 |
| 1467002436 | Karla Patricia Perez | Occupational Therapy Assistant | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2019-09-12 |
| 1760993489 | Michelle Kraft Medeiros | Occupational Therapy Assistant | 2530 Ridgetop Way, Valrico, FL 33594-4223 | 2017-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1720689557 | Chelsie Briana Caudill | Occupational Therapy Assistant | 150 Woodland Dr, Santa Rosa Beach, FL 32459-4412 | 2020-11-06 |
| 1720688252 | Elizabeth Lawler | Occupational Therapy Assistant | 11804 Old Course Rd, Cantonment, FL 32533-4881 | 2020-10-26 |
| 1104425677 | Aiza Dela Cruz Clyde | Occupational Therapy Assistant | 121 Sw 96th Ter Apt 205, Plantation, FL 33324-2325 | 2020-10-25 |
| 1720687296 | Reginal Louissaint | Occupational Therapy Assistant | 20720 Nw 7th Ave Apt 304, Miami Gardens, FL 33169-7015 | 2020-10-25 |
| 1164020095 | Lisa M Harrison | Occupational Therapy Assistant | 83 Pepperdine Dr, Palm Coast, FL 32164-7498 | 2020-10-13 |
| 1902404130 | Joseph Spyros | Occupational Therapy Assistant | 9808 Quadrangle Ct, Ruskin, FL 33573-1204 | 2020-10-09 |
| 1811594534 | Eliette Junco | Occupational Therapy Assistant | 335 Nw 58th Ave, Miami, FL 33126-4723 | 2020-10-06 |
| 1205433133 | Valentina Della Volpe | Occupational Therapy Assistant | 6221 Willow Beck Ln Apt 104, Bradenton, FL 34202-5248 | 2020-10-05 |
| 1053918052 | Yuliet Armas | Occupational Therapy Assistant | 941 E 37th St, Hialeah, FL 33013-2824 | 2020-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.