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

Nicolette Sullivan, CTRS

Individual provider Recreation Therapist · NPI 1609395714

Nicolette Sullivan, CTRS is a Recreation Therapist in Oswego, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

159 W 1st St
Oswego, NY 13126-2045
Phone: (315) 342-9575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 69933 (NY)

Record details

NPI number1609395714
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedSeptember 11, 2017
Last updated in NPPESSeptember 11, 2017
Mailing address309 Crenshaw Ct, Camillus, NY 13031-2041