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