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KELLY SULLIVAN MS, CCC/SLP
NPI 1780975847
Speech-Language Pathologist in Ft Worth, TX

Active since April 25, 2011
1400 8TH AVE, CARTER REHABILITATION & FITNESS CENTER, FT WORTH, TX 76104(817) 922-2502(817) 922-7733 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Sullivan Ms, Ccc/slp NPPES

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

KELLY SULLIVAN MS, CCC/SLP (NPI 1780975847) is an individual speech-language pathologist provider in Ft Worth, Texas, licensed in Texas (101055) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1780975847
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY SULLIVANCredential: MS, CCC/SLP
Location Address1400 8TH AVE, CARTER REHABILITATION & FITNESS CENTERFt Worth, TX 76104-4110
Mailing Address1400 8th Ave, Carter Rehabilitation & Fitness CenterFt Worth, TX 76104-4110 · (817) 922-2502 · Fax (817) 922-7733
Phone(817) 922-2502
Fax(817) 922-7733
Sole ProprietorNo
Enumeration DateApril 25, 2011
✔ NPI 1780975847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 101055
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1400 8TH AVE, Ft Worth, TX 76104
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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.

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
MARY AGNES JOHNSON NP
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-7070
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ANNELISE KUTZLER
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1780975847. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 1400 8th Ave Carter Rehabilitation & Fitness Center, Ft Worth, TX 76104. The listed phone number is (817) 922-2502.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.