KIMBERLY SULLIVAN (NPI# 1578977674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578977674 |
| Entity Type | Individual |
| Full Name | KIMBERLY SULLIVAN |
| Credential | OTR/L |
| Practice Address |
10148 Marshall Pond Rd Burke VA 22015-3730 |
| Practice Telephone | 7032966943 |
| Mailing Telephone | 7032966943 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119001674 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585763 | Kimberly Sullivan | Community/Behavioral Health | 5025 Hadley Meadow Ct, Las Vegas, NV 89131-5211 | 2019-12-17 |
| 1467976225 | Kimberly Ann Sullivan | Registered Nurse | 5517 Wichita Ave, Cleveland, OH 44144-3650 | 2017-08-02 |
| 1871896142 | Kimberly Sullivan | Massage Therapist | 7860 Gate Pkwy Ste 105, Jacksonville, FL 32256-7280 | 2010-12-08 |
| 1225275746 | Kimberly Ann Sullivan | Marriage & Family Therapist | 9008 Elk Grove Blvd # 20, Elk Grove, CA 95624 | 2009-01-21 |
| 1336626159 | Kimberly Jarman Sullivan | Pharmacist | 403 Western Blvd, Jacksonville, NC 28546-6399 | 2018-07-24 |
| 1497244511 | Kimberly Paige Sullivan | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2018-05-03 |
| 1417468893 | Kimberly Marie Sullivan | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2017-10-12 |
| 1174070510 | Kimberly Ann Sullivan | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2016-09-01 |
| 1720462906 | Kimberly Afua Sullivan | Pharmacist | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2015-07-16 |
| 1770961005 | Kimberly Denise Sullivan | Registered Nurse | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2015-05-06 |
| Street Address |
10148 MARSHALL POND RD |
| City | BURKE |
| State | VA |
| Zip Code | 22015-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876182 | Fereshteh Khodaei Shahrokhi | Social Worker | Lyngate Ct, Suite 200, Burke, VA 22015 | 2020-03-12 |
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1407228463 | Burke Dental, Pllc | Dentist | 9006 Fern Park Dr., Suite A, Burke, VA 22015 | 2015-10-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| Find all providers in zip 22015 | ||||
| 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 |
|---|---|---|---|---|
| 1497255475 | Angela Lynn John | Occupational Therapist | 10711 Spring Oak Ct, Burke, VA 22015-2246 | 2018-02-16 |
| 1306132451 | Dana Lymm Mccormick | Occupational Therapist | 5912 Cove Landing Rd Apt 102, Burke, VA 22015-4724 | 2011-06-27 |
| 1346559614 | Sarah I Scott | Occupational Therapist | 5629 Mount Burnside Way, Burke, VA 22015-2145 | 2010-10-04 |
| 1881845345 | Sarah Kim | Occupational Therapist | 5986 Meadow Brook Dr, Burke, VA 22015-3379 | 2008-10-02 |
| 1245550060 | Legacy Healthcare Services, Inc | Occupational Therapist | 9642 Burke Lake Rd, Burke, VA 22015-3052 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043168 | Sierra Alexis Taylor Wolf | Occupational Therapist | 20439 Scioto Ter, Ashburn, VA 20147-7009 | 2020-11-06 |
| 1306446406 | Liveinplace LLC | Occupational Therapist | 116 Sue Ann Ct, Sterling, VA 20164-1923 | 2020-10-28 |
| 1861090755 | Aging At Home Solutions LLC | Occupational Therapist | 25561 Arthur Pl, South Riding, VA 20152-6313 | 2020-10-13 |
| 1578160719 | Michelle Bloomfield | Occupational Therapist | 905 Ayers Way, Glen Allen, VA 23060-3874 | 2020-10-01 |
| 1437766714 | Catherine Cunningham | Occupational Therapist | 40685 John Mosby Hwy, Aldie, VA 20105-2825 | 2020-09-30 |
| 1659985562 | Brian Chan | Occupational Therapist | 908 Perry St, Apt 303, Richmond, VA 23224-2363 | 2020-09-08 |
| 1023621802 | Julie Diana Gronboldt | Occupational Therapist | 14201 Broad Oaks Ct, Midlothian, VA 23112-4618 | 2020-08-31 |
| 1104439074 | Addie Snow Tuck | Occupational Therapist | 9219 Smith Mountain Lake Pkwy, Huddleston, VA 24104-2883 | 2020-08-28 |
| 1992317077 | Rachael Harroun | Occupational Therapist | 4560 South Blvd Ste 310-3, Virginia Beach, VA 23452-1160 | 2020-08-19 |
| 1922610419 | Amber N Chonsky | Occupational Therapist | 1441 Magnolia Ave, Norfolk, VA 23508-1153 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY 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.