Constance H Sullivan, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

18336 Issued in MD

Practice address

12122A Heritage Park Cir
Silver Spring, MD 20906-4554

Phone

(301) 942-6006

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386848786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11609 BUNNELL CT S",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543603",
            "telephone_number": "301-983-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12122A HERITAGE PARK CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064554",
            "telephone_number": "301-942-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CONSTANCE",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "18336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Aaron Suissa
• Rachel Suk, RN, PMHNP-BC
• Hawa Sulaiman
• Abdelwahab Alamin Suliman, MD
• Andrea D Sullivan
• Katie Michelle Sullivan, NP
• Mark Sullivan
• Megan Elizabeth Sullivan
• Sarah Sullivan, LCSW-C
• Ghousia Sultana, M.D.

• All providers in Silver Spring, MD
• Pediatric Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.