Heather Stone Sullivan, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

17688 Issued in MA

Practice address

5 N Meadows Rd
Medfield, MA 02052-2317

Phone

(508) 359-9119

Fax

(508) 359-9115

NPI assigned

Mar 23, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fusion - Osmed Mso, LLC

  • Physical Therapy Clinic/Center
  • Needham, MA
  • NPI 1285451765
  NPD (past)
• Orthosports & Aquatic Physical Therapy, PC

  • Physical Therapist
  • Needham, MA
  • NPI 1407803935

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1326165200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TIMBERLINE RD",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541149",
            "telephone_number": "781-367-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MEADOWS RD",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522317",
            "telephone_number": "508-359-9119",
            "fax_number": "508-359-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HEATHER",
        "middle_name": "STONE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "17688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000150102",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "497216",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech-Language and Hearing Associates of Greater Boston, PC
• Barbara Croft Spillane, P.T., A.T,C.
• Starplanter Medfield P.C.
• Stanley Starr, DDS
• Linda Ribble Stoler, PH.D.
• Surecare LLC
• Swan Therapies LLC
• Suzanne Swedeen, RN
• Jerilynn Thisse, PT
• Patti P. Thole, ED.M., LMHC

• Orthopedic Physical Therapist in Medfield, MA
• Providers in Medfield, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.