Sharon Elizabeth Sullivan, PT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015098 Issued in NY

Practice address

225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425

Phone

(631) 878-7012

Fax

(631) 878-7015

NPI assigned

Mar 23, 2007

Last updated

Mar 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sharon Sullivan PT Ms PC

  • Physical Therapist
  • Moriches, NY
  • NPI 1427327626
  Authorized official Same address or phone
• Michael McCrain MSPT CSCS PC

  • Physical Therapist
  • Moriches, NY
  • NPI 1245278241
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1508983966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BEVERLY CT",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551903",
            "telephone_number": "631-874-0103"
        },
        {
            "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": {
        "last_name": "SULLIVAN",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015098",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "015098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Sferrazza, PSY.D.
• Sharon Sullivan PT Ms PC
• Erika Steil, LMHC, CASAC
• Debra Stetler
• Christina Storm-Colantuono
• Kafeel Syed
• Shayla Alyson Vangurp, ATC
• We Provide and Care
• Franziska Winkler Desalvo, M.S.

• Physical Therapist in Moriches, NY
• Providers in Moriches, 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 Mar 18, 2009; 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.