Mindy Sullivan-Lo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

087868 Issued in IA

Practice address

818 SE Alices Rd
Waukee, IA 50263-9610

Phone

(515) 216-2999

NPI assigned

Jun 29, 2017

Sex

Female

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

Enrolled in IA

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.

• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment NPD
• Younker Rehabilitation Therapy Services, LLC

  • Physical Therapist
  • Ankeny, IA
  • NPI 1447797113
  Medicare reassignment NPD

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1255852257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CORENE AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SE ALICES RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639610",
            "telephone_number": "515-216-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-LO",
        "first_name": "MINDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Rae Steensen, LPN
• Tonya Shirrell Stewart, ARNP
• Skyller Stickfort, DC
• Alexandra Lucille Stork, PT
• Alyssa Leanne Subbert, PT
• Sunset Hills Assisted Living
• Matthew Alan Sutton, MD
• Daniel Sweet, PT
• Heather Nicole Talley, M.D.
• Sarah Tegtmeier, LAT, ATC

• Physical Therapist in Waukee, IA
• Providers in Waukee, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.