Paul Sullivan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01649500 Issued in NJ

Practice address

34 Manchester Ave
Forked River, NJ 08731-1366

Phone

(609) 693-9345

Fax

(609) 693-9347

NPI assigned

Dec 15, 2015

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rothman Orthopaedics of New Jersey, LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630
  Medicare reassignment NPD
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD
• Rehabclinics SPT Inc

  dba Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Manahawkin, NJ
  • NPI 1043271216
  NPD (past)

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1245695402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "STE 1402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074404",
            "telephone_number": "800-321-9999",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MANCHESTER AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311366",
            "telephone_number": "609-693-9345",
            "fax_number": "609-693-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PAUL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01649500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Stark, MSW
• Benjamin S Steinberg, PSY.D.
• Melissa Stevens, L.P.C.
• Joseph Stuzynski, DMD
• Thomas Suckiel
• Superior Surgical
• Tammy E. Swank, L.S.C.W.
• Daniel Sweeney
• Morgan A Sweeney, LAC
• Olivia Rose Tarricone, RD

• Physical Therapist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.