Elaine N Sullivan, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

003211 Issued in NY

Practice address

1 Rapp Rd
Albany, NY 12203-4491

Phone

(518) 867-3061

Fax

(518) 867-3066

NPI assigned

Oct 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine H. Nasholds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Advanced Therapy, P.L.L.C.

  • Early Intervention Provider Agency
  • Albany, NY
  • NPI 1396907697
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1255640579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RAPP RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034491",
            "telephone_number": "518-867-3061",
            "fax_number": "518-867-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RAPP RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034491",
            "telephone_number": "518-867-3061",
            "fax_number": "518-867-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ELAINE",
        "middle_name": "N",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "003211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "NASHOLDS",
            "middle_name": "H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raheel Sulehri, PHARM. D
• Kevin L. Sulkey, BS, P.T.A.
• Jennifer Sulkow, PA
• Lance Eugene Sullenberger, MD
• Anne Marie Sullivan, MD
• Jessica Sullivan
• Joshua Timothy Sullivan
• Julia Sullivan, MD
• Lucia Elizabeth Sullivan, LMSW
• Mollie R Sullivan, FNP-BC

• Physical Therapy Assistant in Albany, NY
• Providers in Albany, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.