Christine Sullivan

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2008009942 Issued in MO

Practice address

132 Christopher PL
Saint Louis, MO 63129-4981

Phone

(314) 808-4333

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1073286175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CHRISTOPHER PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294981",
            "telephone_number": "314-808-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CHRISTOPHER PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294981",
            "telephone_number": "314-808-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070024823",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2008009942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitin Sukumar
• Lynn Marie Sullinger, D.P.T
• Aja Blue Sullivan, RN
• Amanda Leigh Sullivan, MS, ATC
• Brady Sullivan, LPC, NCC
• Conor Michael Sullivan
• Daniel T. Sullivan, D.D.S.
• Elise Sullivan
• Elizabeth C Sullivan, OT
• Erin Cleary Sullivan, OD

• Physical Medicine & Rehabilitation Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.