Daniel J. Sullivan, PT, CFP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

225100000X Issued in ME

Practice address

34 Hennessey Avenue
Brunswick, ME 04011-0000

Phone

(207) 725-7578

Fax

(207) 725-7549

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1164565263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HENNESSEY AVENUE",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-725-7578",
            "fax_number": "207-725-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HENNESSEY AVENUE",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040110000",
            "telephone_number": "207-725-7578",
            "fax_number": "207-725-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "credential": "PT, CFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "039097",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281020099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calin Stoicov, MD
• Elizabeth Stone, PHD
• Anna K Strange, AU.D.
• Melissa J Streeter, MD
• Samantha Kay Strout, PT, DPT
• Kathleen Ellen Sullivan, LCSW
• Vijayarani Suresh, NP
• Andrew Paul Susen, PA-C, MSC
• Suzanne P Grondin DC PA
• Matthew M Sweatt, PHARMD

• Physical Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.