Sullivan Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1151958 Issued in TX

Legal business name

SULLIVAN PHYSICAL THERAPY LLC

Practice address

12411 Hymeadow Dr Ste 3B
Austin, TX 78750-1829

Phone

(512) 335-9300

Fax

(512) 335-9301

NPI assigned

Apr 20, 2007

Last updated

Apr 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberlee D Sullivan, DPTNPI 1639108103

Title

Owner & Physical Therapist

Phone

(512) 335-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberlee D Sullivan DPT Former legal business name

Locations

Practitioners 40

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.

• Kimberlee Dawn Sullivan, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1639108103
  Authorized official Same address or phone
• Nijiera I Addison, PT, DPT

  • Physical Therapist
  • Houston, TX
  • NPI 1700513298
  NPD
• Nusrat Ali

  • Physical Therapist
  • Spring, TX
  • NPI 1457626947
  NPD
• Susan Arevalo, DPT

  • Physical Therapist
  • Round Rock, TX
  • NPI 1326926221
  NPD
• Busra Celik, PT

  • Physical Therapist
  • Round Rock, TX
  • NPI 1699647909
  NPD
• Cynthia De Love Chan, PT, DPT

  • Physical Therapist
  • Bellaire, TX
  • NPI 1558187765
  NPD
• Camryn Elizabeth Cothran, PT, DPT

  • Physical Therapist
  • Bellaire, TX
  • NPI 1578498168
  NPD
• Mellisa Garcia

  • Physical Therapist
  • Austin, TX
  • NPI 1578457933
  NPD
• Janice Mary Nkrumah

  • Physical Therapist
  • Arlington, TX
  • NPI 1326642190
  NPD
• Abegail Riguerra Nobles

  • Physical Therapist
  • Sugar Land, TX
  • NPI 1043596455
  NPD
• Meagan Renae Patt, DPT

  • Physical Therapist
  • Sugar Land, TX
  • NPI 1588513048
  NPD
• Laura Thrasher, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1104372283
  NPD

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1437377199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 UPLAND DR.",
            "address_2": "PMB 19899",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043",
            "telephone_number": "512-335-9300",
            "fax_number": "512-335-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR STE 3B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501829",
            "telephone_number": "512-335-9300",
            "fax_number": "512-335-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787411006",
            "country_code": "US",
            "telephone_number": "213-898-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1231 Austin Hwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782094981",
            "country_code": "US",
            "telephone_number": "213-898-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 Terminal St",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774016013",
            "country_code": "US",
            "telephone_number": "213-898-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16742 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792331",
            "country_code": "US",
            "telephone_number": "213-898-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786814007",
            "country_code": "US",
            "telephone_number": "213-898-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2712 Bee Caves Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465676",
            "country_code": "US",
            "telephone_number": "213-898-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SULLIVAN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER & PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-335-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1151958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER NUMBE",
            "identifier": "659678",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberlee D Sullivan DPT",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kimberlee D Sullivan DPT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Carin Suitt, RRT
• Don Sulak, RPH
• Aditi Jagdish Sule, MD
• Vivian Sule
• Mahmoud Suleiman
• Alyssa Sullivan, LCSW
• Anna Nicole Powell Sullivan, PA-C
• Arthur Lee Sullivan, FNP
• Brian L Sullivan, M.D.
• Carolyn Linnette Sullivan, LPC LCDC LICENSED CO

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.