Johnanna Sullivan, PT, DPT, OCS, SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-5810 Issued in MT

Practice address

3150 N Montana Ave Ste D
Helena, MT 59602-7804

Phone

(719) 659-6088

NPI assigned

Oct 26, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Sports Physical TherapyGroup PAC ID 6507139573, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Sports Physical Therapy

  • Physical Therapist
  • Helena, MT
  • NPI 1457888943
  Medicare reassignment Care Compare group NPD Authorized official
• Nursing and Therapy Services of Colorado Inc

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1508456963

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447335724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192726",
            "telephone_number": "719-574-5562",
            "fax_number": "719-471-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N MONTANA AVE STE D",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027804",
            "telephone_number": "719-659-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHNANNA",
        "credential": "PT, DPT, OCS, SCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8331",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-5810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zacary Strickland, LCPC
• Thomas Strizich, MD
• Jocelyn Stromberg, PHARMD
• Craig Erwin Struble, LCSW
• Amy Beth Sullivan, NP
• Landon Sullivan
• Robert W. Summerer, M.D.
• Summits Beyond Counseling (Summits Beyond Counseling, PLLC)
• Blanche Nicole Sumner, MS, LCPC
• Sunshine Taxi LLC

• Physical Therapist in Helena, MT
• Providers in Helena, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.