Annpat Sullivan, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT000606E Issued in PA

Practice address

53 Gravel St
Wilkes Barre, PA 18705-3738

Phone

(570) 371-5600

NPI assigned

Aug 11, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatria Healthcare,LLC

  • Medically Fragile Infants and Children Day Care
  • Wilkes Barre, PA
  • NPI 1720214133
  NPD (past)
• Pediatriahealthcarellc

  • Medically Fragile Infants and Children Day Care
  • Wilkes Barre, PA
  • NPI 1639305048
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1003048935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 EAST MAPLE STREET",
            "address_2": "P.O. BOX 51",
            "city": "TRESCKOW",
            "state": "PA",
            "postal_code": "182540051",
            "telephone_number": "570-454-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GRAVEL ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187053738",
            "telephone_number": "570-371-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNPAT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT000606E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faiz Ali Subzposh, M.D.
• Jennifer Suda
• Michelle K Sudo, DO
• Albert M Sukowaski, R.N.
• Mohanad Sulaiman, MD
• Brett Sullivan
• Harley Breanna Sullivan
• Luke E. Sullivan, D.O.
• Christian Hailey Summa, DO
• Jennifer Summa, O.D.

• Pediatric Physical Therapist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.