Active NPI
Christie Sullivan Heath, P.T.
- Specialist
- Zachary, LA
National Provider Identifier
1558317511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3583
- Practice address
- 1219 Church St
Zachary, LA 70791-2347 - Phone
- (225) 658-7751
- Fax
- (225) 658-7753
- NPI assigned
- May 25, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3583 | LA | Primary |
Addresses
Primary practice location
1219 Church St
Zachary, LA 70791-2347
Mailing address
1219 Church St
Zachary, LA 70791-2347
Phone (225) 658-7751
Other names 1
- Mrs. Christie Lauren Sullivan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 W Main St
Marlow, OK 73055-2437
Phone (580) 721-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3583 | LA | MD | Specialist |
| 4496 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Rock Health and Wellness LLC | Current | Accepting new patients | |
| Kleinpeter Physical Therapy, LLC | Specialist | Past | Accepting new patients |
Locations
103 W Main St
Marlow, OK 73055
Phone (580) 658-2319
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Marlow, OK
- NPI 1578046827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558317511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912347",
"telephone_number": "225-658-7751",
"fax_number": "225-658-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912347",
"telephone_number": "225-658-7751",
"fax_number": "225-658-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "CHRISTIE",
"middle_name": "SULLIVAN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "3583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "SULLIVAN",
"middle_name": "LAUREN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.