Justin Sullivan PT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033294 Issued in NY

Legal business name

JUSTIN SULLIVAN PT PLLC

Doing business as

Move Physical Therapy
Move Physio

Practice address

360 State Route 17M Ste 4
Monroe, NY 10950-3444

Phone

(845) 810-0078

NPI assigned

Feb 9, 2012

Last updated

May 18, 2023By 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. Justin Sullivan, PTNPI 1467632919

Title

Owner

Phone

(845) 810-0078

Specialties & licenses 1

Addresses

Other names 2

• Move Physical Therapy Doing business as
• Move Physio Doing business as

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.

• Justin Sullivan, DPT

  • Physical Therapist
  • Monroe, NY
  • NPI 1467632919
  Authorized official Same address or phone

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1457624298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444",
            "telephone_number": "845-810-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN SULLIVAN PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-810-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Move Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Move Physio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Jan Jones-Post, RN, MT, ASHRM
• Sarah Jones, COTA
• Kenneth Alan Joseph, DDS
• Nicole Candise Joseph
• Steffanie Lindsell Jurgens, MSED
• Irving Kadesh, PH.D.
• Hadassah Janis Kahn, LMSW
• Ruteeka Kakodkar
• Victoria Kamlet
• Kristin Marie Kamrowski, PHARMD RPH

• Physical Therapist in Monroe, NY
• Providers in Monroe, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.