Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Sullivan

Individual provider Occupational Therapy Assistant · NPI 1639650955

Matthew Sullivan is an Occupational Therapy Assistant in Athens, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
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Practice location Address checks out

500 Valle Vista Dr
Athens, TX 75751-2760
Phone: (903) 675-2046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 214230 (TX)

Record details

NPI number1639650955
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESAugust 24, 2018
Mailing address7401 Romans Rd, Athens, TX 75751-8449

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