Active NPI
James Dennis Sullivan, PT
- Physical Therapist
- Monroeville, PA
National Provider Identifier
1093123465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTO19698
- Practice address
- 4142 Monroeville Blvd
Monroeville, PA 15146-2608 - Phone
- (412) 856-7570
- Fax
- (412) 373-5061
- NPI assigned
- Jul 29, 2014
- Last updated
- Jul 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTO19698 | PA | Primary |
Addresses
Primary practice location
4142 Monroeville Blvd
Monroeville, PA 15146-2608
Mailing address
4142 Monroeville Blvd
Monroeville, PA 15146-2608
Phone (412) 856-7570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
539 Greenfield Ave
Pittsburgh, PA 15207-1091
Phone (412) 421-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTO19698 | PA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1417273921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1093123465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 MONROEVILLE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462608",
"telephone_number": "412-856-7570",
"fax_number": "412-373-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 MONROEVILLE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462608",
"telephone_number": "412-856-7570",
"fax_number": "412-373-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JAMES",
"middle_name": "DENNIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PTO19698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.