KAITLYN SULLIVAN
NPI 1124440276
Occupational Therapist in Hauppauge, NY

Active since January 08, 2014
1363 VETERANS MEMORIAL HWY STE 8, HAUPPAUGE, NY 11788(631) 366-3876 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlyn Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN SULLIVAN (NPI 1124440276) is an individual occupational therapist in Hauppauge, New York, licensed in New York (018458) and active in the NPI registry since January 2014. She is a graduate of Other.

NPPES Registry Identity

NPI1124440276
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKAITLYN SULLIVAN
Location Address1363 VETERANS MEMORIAL HWY STE 8Hauppauge, NY 11788-3046
Mailing Address14 Cordell PlEast Northport, NY 11731-2622 · (631) 356-5561
Sole ProprietorYes
Medical School CMSOther
Enumeration DateJanuary 8, 2014
Last NPPES UpdateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1124440276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 018458
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.
1363 VETERANS MEMORIAL HWY STE 8, Hauppauge, NY 11788

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749773992
PECOS Enrollment IDI20251205000350

Medicare Billing Reassignment

Medicare enrollment records show Kaitlyn Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hand
801 MERRICK AVE
East Meadow, NY 11554
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788
Behavior Analyst
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788
Specialist/Technologist, Other
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788
Occupational Therapist
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788
Psychologist (School)
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788
Behavior Analyst
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788
Occupational Therapist
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788
Speech-Language Pathologist
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Sullivan's NPI number?

The NPI number for Kaitlyn Sullivan is 1124440276. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Where is Kaitlyn Sullivan located?

Kaitlyn Sullivan practices at 1363 Veterans Memorial Hwy Ste 8, Hauppauge, NY 11788. The listed phone number is (631) 366-3876.

What is Kaitlyn Sullivan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kaitlyn Sullivan enrolled in Medicare?

Yes. Kaitlyn Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Sullivan reassigns Medicare benefits to Sports Physical Therapy Occupational Therapy And Rehabilitation Servic (East Meadow, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaitlyn Sullivan was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.