NPIMap

Organization Active NPI

Sharon Sullivan PT Ms PC

  • Physical Therapist
  • Moriches, NY
National Provider Identifier
1427327626
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015098 Issued in NY
Legal business name
SHARON SULLIVAN PT MS PC
Practice address
225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425
Phone
(631) 878-7012
Fax
(631) 878-7015
NPI assigned
Dec 19, 2011
Last updated
Dec 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sharon Elizabeth SullivanNPI 1508983966
Title
Physical Therapist
Phone
(631) 878-7012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015098 NY Primary

Addresses

Primary practice location

225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425

Mailing address

225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425
Phone (631) 878-7012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1427327626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MONTAUK HWY",
            "address_2": "SUITE 109",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551425",
            "telephone_number": "631-878-7012",
            "fax_number": "631-878-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MONTAUK HWY",
            "address_2": "SUITE 109",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551425",
            "telephone_number": "631-878-7012",
            "fax_number": "631-878-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON SULLIVAN PT MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-878-7012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.