John L Sullivan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P3 60394421 Issued in WA

Practice address

6720 E Green Lake Way N
Seattle, WA 98103-5439

Phone

(206) 525-9666

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1235551953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 E GREEN LAKE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035439",
            "telephone_number": "206-525-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 E GREEN LAKE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035439",
            "telephone_number": "206-525-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P3 60394421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Sullivan
• Elizabeth Sullivan, PHARMD
• Elizabeth Ann Sullivan, MSW, LICSW
• Jack Sullivan, MD
• Jeffrey H Sullivan, M.D.
• Julia Sullivan I
• Julie P Sullivan
• Karen Sullivan, LMT
• Karol Andrea Sullivan, DDS
• Katrina Sullivan, DPM

• Physical Therapy Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.