HEATHER L SULLIVAN (NPI# 1669535126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669535126 |
| Entity Type | Individual |
| Full Name | HEATHER L SULLIVAN |
| Other Name | HEATHER L HANSEN |
| Practice Address |
1083 Waterloo Geneva Rd Waterloo NY 13165-1202 |
| Mailing Address |
17 E Wright Ave Waterloo NY 13165-1111 |
| Practice Telephone | 3155394049 |
| Mailing Telephone | 3155498395 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 010354-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382903 | Heather Sullivan | Registered Nurse | 101 Fieldstone Rd, Westwood, MA 02090-1113 | 2019-05-28 |
| 1275839102 | Heather Maureen Sullivan | Acupuncturist | 495 N Riverside Dr Ste 104, Gurnee, IL 60031-5919 | 2011-02-10 |
| 1003123035 | Heather Brennan Sullivan | Nutritionist | 1711 N Larrabee St, 2, Chicago, IL 60614-5621 | 2010-09-13 |
| 1578584165 | Heather E. Sullivan | Family Medicine | 108 County Rd, Eastford, CT 06242-7710 | 2006-07-21 |
| 1215591334 | Heather M Sullivan | Counselor | 550 Summit Ave, Troy, OH 45373-3047 | 2019-04-24 |
| 1770146433 | Heather Sullivan | Case Management | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-04-18 |
| 1003325093 | Heather Marie Sullivan | Speech-Language Pathologist | 11244 Willow Crest Ln, Mokena, IL 60448-1334 | 2017-09-22 |
| 1922537703 | Heather J Sullivan | Occupational Therapist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2017-06-06 |
| 1205383890 | Heather Sullivan | Registered Nurse | 110 10th St Se, Bandon, OR 97411-9157 | 2016-09-01 |
| 1144692823 | Heather Sullivan | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-10-21 |
| Street Address |
1083 WATERLOO GENEVA RD |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306914874 | Stacey Marie Bogart | Social Worker | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2006-12-01 |
| 1720504863 | Elizabeth Macdonald | Social Worker | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2017-08-21 |
| 1598287625 | Ryan Nichole Carney | Counselor | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2017-07-11 |
| 1861828949 | Rebecca P Travis | Physical Therapist | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2013-09-19 |
| 1467705111 | Erin Davidson | Physical Therapist | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2012-10-18 |
| 1316223092 | Edward Mcmillan Wright | Physical Therapist | 1083 Waterloo Geneva Rd, Waterloo, NY 13165 | 2011-10-26 |
| 1477702496 | Carrie Fischer | Occupational Therapist | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2008-09-15 |
| 1407067622 | Jennifer L. Marquart | Speech-Language Pathologist | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2007-05-28 |
| 1558484105 | Ember Barnes Hilkert | Social Worker | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2007-04-09 |
| 1558495374 | Finger Lakes Ddso | Clinic/Center | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134408321 | Kristin Jean Korth | Occupational Therapist | 134 N 248th Cir, Waterloo, NE 68069-4690 | 2011-08-05 |
| 1396046363 | Amanda Holman Smith | Occupational Therapist | 312 Relax St, Waterloo, SC 29384-3503 | 2010-11-08 |
| 1720256258 | Tamra S Knipp | Occupational Therapist | 815 Tower Park Dr., Waterloo, IA 50701 | 2008-02-19 |
| 1194331967 | Jennifer Rebecca Evans | Occupational Therapist | 623 Hamacher St, Waterloo, IL 62298-1786 | 2020-09-17 |
| 1720579469 | Cody Lynn Lafler | Occupational Therapist | 2160 Logan Ave, Waterloo, IA 50703-1006 | 2018-05-29 |
| 1376916643 | Paul Jstin Marcoux | Occupational Therapist | 2651 Saint Francis Dr, Waterloo, IA 50702-5442 | 2015-11-08 |
| 1932475449 | John J Gobe | Occupational Therapist | 109 Washington St, Waterloo Central School District, Waterloo, NY 13165-1835 | 2012-03-29 |
| 1154632107 | Rock Valley Physical Therapy Center | Occupational Therapist | 815 W Tower Park Dr, Waterloo, IA 50701-9026 | 2010-06-24 |
| 1700036043 | Bryan Boardsen | Occupational Therapist | 815 W Tower Park Dr, Waterloo, IA 50701-9026 | 2008-09-23 |
| 1477702496 | Carrie Fischer | Occupational Therapist | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2008-09-15 |
| Find all providers in WATERLOO | ||||
Please comment or provide details below to improve the information on HEATHER L SULLIVAN.
| 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.