Active NPI
Megan Sullivan, PT
- Physical Therapist
- South Miami, FL
National Provider Identifier
1265583793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36441
- Practice address
- 7800 SW 57TH Ave
South Miami, FL 33143-5528 - Phone
- (305) 779-2427
- Fax
- (305) 779-2437
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36441 | FL | Primary |
| Physical Therapist | 225100000X | PT00009862 | WA |
Addresses
Primary practice location
7800 SW 57TH Ave
South Miami, FL 33143-5528
Mailing address
7800 SW 57TH Ave
South Miami, FL 33143-5528
Phone (305) 779-2427
Other practice location 1
19820 Scriber Lake Rd
Lynnwood, WA 98036-6121
Phone (425) 673-5220
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36441 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Rehabilitation, Inc | Past | Accepting new patients | |
| Physical Therapy and Sports Medicine Binh M. Tran PT, Inc. | Physical Therapist | Past | Accepting new patients |
| Action Reaction Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Pain Free Move Well | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Seattle, WA
- NPI 1053466136
-
- Rehabilitation Clinic/Center
- Bellevue, WA
- NPI 1659595593
-
- Chiropractor
- Mountlake Terrace, WA
- NPI 1568737047
-
- Physical Therapist
- Washington, DC
- NPI 1942360102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1265583793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 SW 57TH AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435528",
"telephone_number": "305-779-2427",
"fax_number": "305-779-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 SW 57TH AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435528",
"telephone_number": "305-779-2427",
"fax_number": "305-779-2437"
}
],
"practiceLocations": [
{
"address_1": "19820 Scriber Lake Rd",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980366121",
"country_code": "US",
"telephone_number": "425-673-5220",
"fax_number": "425-673-1597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "MEGAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36441",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.