Individual provider Active NPI

Daniel Sullivan, P.T.

  • Physical Therapist
  • Palm Beach, FL
National Provider Identifier
1215220629
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 8252 Issued in FL
Practice address
350 S County Rd
Suite 107
Palm Beach, FL 33480-4481
Phone
(561) 655-3699
Fax
(561) 655-4664
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 8252 FL Primary

Addresses

Primary practice location

350 S County Rd
Suite 107
Palm Beach, FL 33480-4481

Mailing address

350 S County Rd
Suite 107
Palm Beach, FL 33480-4481
Phone (561) 655-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 8252FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1215220629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S COUNTY RD",
            "address_2": "SUITE 107",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804481",
            "telephone_number": "561-655-3699",
            "fax_number": "561-655-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S COUNTY RD",
            "address_2": "SUITE 107",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804481",
            "telephone_number": "561-655-3699",
            "fax_number": "561-655-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 8252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.