Angela Renea Sullivan, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE007473 Issued in PA

Practice address

305 Cherry St
Philadelphia, PA 19106-1803

Phone

(215) 238-9848

NPI assigned

Apr 2, 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

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1396917076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ASPEN WAY",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194732330",
            "telephone_number": "610-287-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHERRY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061803",
            "telephone_number": "215-238-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANGELA",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia R Sulkes, SPEECH THERAPIST
• Sarah Sulkowski
• Meghan Maureen Sullivan Walsh, D.M.D.
• Ameera Vonye Sullivan
• Aminda Sullivan
• Anne Marie Sullivan, PA-C
• Annemarie E Sullivan, LPC
• Casey Sullivan
• Christine Sullivan, DOULA
• Colleen Rebekah Sullivan

• Physical Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.