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

Individual provider Occupational Therapist · NPI 1619566536

Tori Annette Sullivan, OTR is an Occupational Therapist in Private Practice in Irving, Texas. Qualified in 2023, 3 years ago. Practices with Vista Jv Partners LLC, a 126-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2021
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1431 Greenway Dr Ste 500
Irving, TX 75038-2444
Phone: (903) 509-2040
Fax: (855) 587-4499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 123589 (TX)

Record details

NPI number1619566536
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJanuary 14, 2021
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vista Jv Partners Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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