Maria Sullivan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008047-1 Issued in NY

Practice address

2778 Bruckner Blvd
Bronx, NY 10465-1934

Phone

(718) 863-4925

Fax

(718) 863-5316

NPI assigned

Dec 4, 2008

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

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.

• These Our Treasures, Inc.

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1164677381
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1346485398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651934",
            "telephone_number": "718-863-4925",
            "fax_number": "718-863-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651934",
            "telephone_number": "718-863-4925",
            "fax_number": "718-863-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008047-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Sullivan, LPN
• Kathryn Sullivan, PA-C
• Kevin John Sullivan, PHARM.D.
• Loretta Sullivan, NP
• Margaret Rose Sullivan, PA-C
• Mary Sullivan
• Oliver Sullivan, DMD
• Rachel Ann Sullivan
• Raven Dominique Bedonia Sullivan, PT, DPT
• Sean Kevin Sullivan, P.T.

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.