Individual provider · Type 1 NPI

Jadyn Elizabeth Sullivan, OTR/L

Occupational Therapist · Bay Shore, NY

NPI number 1679404412 Active

Practice location

70 Brentwood Rd
Bay Shore, NY 11706-6947

Call (516) 493-7708 Map

Mailing address

36 Morris Ave
Lake Grove, NY 11755-2718

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X031180 (NY)

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…

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About NPI 1679404412

Jadyn Elizabeth Sullivan, OTR/L's National Provider Identifier is 1679404412, issued on May 28, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bay Shore, NY. The record was last updated on May 28, 2026.