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NICOLETTE SULLIVAN CTRS
NPI 1609395714
Recreation Therapist in Oswego, NY

Active since September 11, 2017
159 W 1ST ST, OSWEGO, NY 13126(315) 342-9575 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nicolette Sullivan Ctrs NPPES

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

NICOLETTE SULLIVAN CTRS (NPI 1609395714) is an individual recreation therapist in Oswego, New York, licensed in New York (69933) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1609395714
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameNICOLETTE SULLIVANCredential: CTRS
Location Address159 W 1ST STOswego, NY 13126-2045
Mailing Address309 Crenshaw CtCamillus, NY 13031-2041
Phone(315) 342-9575
Sole ProprietorYes
Enumeration DateSeptember 11, 2017
✔ NPI 1609395714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in NY · 69933
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
159 W 1ST ST, Oswego, NY 13126
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Other Identifiers 1

Other69933Nctrc

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.

MARGARET AYALA TSLD
Specialist/Technologist (Speech-Language Assistant)
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 326-3351
REHAB RESOURCES
Skilled Nursing Facility
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 326-3353
MS. MERCEDES LYNN FITZGERALD MASTERS OF SCIENCE
Specialist
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 342-9575
CLAIRE LOUISE GROSSO
Specialist
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 342-9575
KENNA BOYCE
Occupational Therapy Assistant
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 342-9575
CAMILLE PENSABENE
Specialist
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 342-9575
MISS CHRISTINA ANN MACHOLL
Specialist
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 342-9575
MARY ELLEN LEFEVRE
Specialist
159 W 1ST ST
OSWEGO, NY 13126
Oswego County (315) 342-9575

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 Nicolette Sullivan's NPI number?

The NPI number for Nicolette Sullivan is 1609395714. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Nicolette Sullivan located?

Nicolette Sullivan practices at 159 W 1st St, Oswego, NY 13126. The listed phone number is (315) 342-9575.

What is Nicolette Sullivan's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Nicolette Sullivan was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.