KAYLA SULLIVAN HOUSE


Address: 4602 Cumberland Rd, Fayetteville, NC 28306-2412
Phone: 9104235622

KAYLA SULLIVAN HOUSE (NPI# 1104457753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104457753
Entity Type Individual
Full Name KAYLA SULLIVAN HOUSE
Credential OTR/L
Practice Address 4602 Cumberland Rd
Fayetteville
NC 28306-2412
Mailing Address 702 Denim Dr
Erwin
NC 28339-2304
Practice Telephone 9104235622
Practice Fax Number 9103781755
Mailing Telephone 9198200283
Enumeration Date 2020-02-03
Last Update Date 2020-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 13060 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4602 CUMBERLAND RD
City FAYETTEVILLE
State NC
Zip Code 28306-2412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467433680 Therapy Playground, Inc Speech-Language Pathologist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2005-11-07
1821608191 Kendall Mobley Physical Therapy Assistant 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2020-08-03
1972122505 Christine Caldwell Occupational Therapy Assistant 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2020-04-14
1841826476 Shreya M Khetan Physical Therapist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2020-03-16
1053975276 Savannah Elizabeth Bailey Speech-Language Pathologist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2019-04-23
1952861957 Amy Hammer Speech-Language Pathologist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2019-03-25
1174096697 Karen Johnson Horne Speech-Language Pathologist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2019-01-08
1619440195 Myra Loy Occupational Therapist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2019-01-07
1295203982 Melissa Keene Occupational Therapist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2018-11-12
1245719459 Melissa Julianna Maach Speech-Language Pathologist 4602 Cumberland Rd, Fayetteville, NC 28306-2412 2018-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539501 Lauren Lockhart Pharmacist 5106 Nc-87 #100, Fayetteville, NC 28306 2020-05-07
1528687472 Edutherapy Connection LLC Occupational Therapist 3518 Grenedine Dr, Fayetteville, NC 28306 2020-04-10
1245708213 Catherine H Cox Speech-Language Pathologist Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 2018-11-08
1720446776 Wal-mart Store East, Lp Technician/Technologist 2820 Gillespie St., Fayetteville, NC 28306 2016-02-05
1720460017 Sridhar Gottipati Pharmacist 10072 Southern Ave., Fayetteville, NC 28306 2015-06-23
1942687900 St Marys Hca of South Carolina Clinic/Center 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 2015-04-29
1649696204 Kathryn Dries Nurse Practitioner 7496 Rockfish Road, Fayetteville, NC 28306 2014-03-06
1508288218 Teresa Mcneill Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3608 Pickerel St, Fayetteville, NC 28306 2014-01-15
1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
1184928848 Hanora Medical Center, Pllc Internal Medicine 2620 Owen Dr, Fayetteville, NC 28306 2011-01-10
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029690 Nicole Kathleen Simmler Occupational Therapist 7120 Tres Ct, Fayetteville, NC 28314-5272 2020-10-07
1639799877 Kimberly Craw Myers Occupational Therapist 550 Warren Street, Apt. 5d, Fayetteville, NY 13066-2154 2020-04-17
1528687472 Edutherapy Connection LLC Occupational Therapist 3518 Grenedine Dr, Fayetteville, NC 28306 2020-04-10
1699302687 Kelsey Taylor Lisicia Occupational Therapist 500 Lanier Ave W Ste 603, Fayetteville, GA 30214-7644 2020-03-27
1598397283 Mallory Boozer Occupational Therapist 2713 Breezewood Ave # 5535, Fayetteville, NC 28303-5534 2020-02-10
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1639726425 Samantha Lynn Dipaolo Occupational Therapist 1555 Cain Rd Ste 200, Fayetteville, NC 28303-3076 2019-08-26
1114421922 Serc Rehabilitation Partners LLC Occupational Therapist 1261 N Steamboat Dr Ste 2, Fayetteville, AR 72704-6262 2018-03-19
1730607540 Tamara Terry Occupational Therapist 290 Ga-314 B, Fayetteville, GA 30214 2017-08-31
1760908867 Natalie Snow Occupational Therapist 6226 W Persimmon St, Fayetteville, AR 72704-7054 2017-08-21
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City FAYETTEVILLE
Zip Code 28306

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Dataset Information

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.

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