Thomas Sullivan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

008917 Issued in NY

Practice address

1603 Court St
Syracuse, NY 13208-1834

Phone

(315) 455-7591

Fax

(315) 455-2446

NPI assigned

Oct 10, 2013

Sex

Male

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

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1437586286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081834",
            "telephone_number": "315-455-7591",
            "fax_number": "315-455-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081834",
            "telephone_number": "315-455-7591",
            "fax_number": "315-455-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "THOMAS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Sullivan
• Laura Sullivan, LMSW
• Lisa A Sullivan
• Ross William Sullivan, MD
• Stephanie Elisabeth Sullivan, F.N.P.
• William Edward Sullivan, PHD
• Bisher Sultan, DO
• Nigar Sultana
• Parveen Sulthana, MBBS(MD)
• Parikshith Amarnath Sumathi, M.D., D.A., M.B.B.S

• Physical Therapy Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.