Courtney Allison Sullivan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40446 Issued in CA

Practice address

291 E Main St Ste E
Los Gatos, CA 95030-6137

Phone

(408) 354-2223

Fax

(408) 979-2301

NPI assigned

Sep 26, 2013

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 names 1

• Courtney Allison Sinclair Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1356778088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST STE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-354-2223",
            "fax_number": "408-979-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST STE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-354-2223",
            "fax_number": "408-979-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "COURTNEY",
        "middle_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SINCLAIR",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Stoltz
• Zimu Jim Su, DPT
• Brindha Krishna Subramanian, B.D.S, M.S
• Sergey Sukhanov
• Danielle L. Sukonick, M.D.
• Michael F. Sullivan, P.T.
• Terrence R Sullivan, MD
• Suman S Kuppahally, M.D. Inc
• Jodecia Sung, DC
• Sutter Bay Medical Foundation

• Physical Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.