Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA SULLENBERGER
Active Sole ProprietorJESSICA SULLENBERGER is a Occupational Therapist healthcare provider located in PARK CITY, Utah. NPI 1659588176 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PARK CITY, UT
Registration Details
- NPI Number
- 1659588176
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (19.20457343028 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PTA 20373 (FL)PTA 05746 (OH)2056595 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1640 WEST REDSTONE CENTER DRSUITE 200PARK CITY, UT, 84098Browse UT providers · Browse ZIP 84098
- Phone
- 4357767235
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MS. CELESTE ANNETTE WILLMANN-CHAFIN | LPTA | 1467570911 |
| MR. MELVIN NORTON | PTA | 1023215209 |
| ROEL RUIZ | — | 1275705105 |
| MS. BETH ANITA RYLANDS | PTA | 1821255274 |
| EMILY ANN FLOYD | PTA | 1386809069 |
| JAMES ROBERT PERRONE | PTA | 1003050469 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.