Phoebe Claire Sullivan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000748 Issued in VA

Practice address

8101 Hinson Farm Rd Ste 118
Alexandria, VA 22306-3404

Phone

(703) 705-2151

NPI assigned

Apr 27, 2022

Sex

Female

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)

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 and National Provider Directory roles.

• Body Kinetics Rehab LLC.

  • Neurology Physical Therapist
  • Annandale, VA
  • NPI 1891706586

  Speech-Language Pathologist

  NPD
• Body Mechanix and Beyond LLC

  • Physical Therapist
  • Annandale, VA
  • NPI 1699396317
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1588308233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOLLAND LN APT 1521",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143446",
            "telephone_number": "305-812-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 118",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063404",
            "telephone_number": "703-705-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PHOEBE",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily S Sullivan, P.A.
• Heather Sullivan, LCSW
• Kayleigh Jo Sullivan, LICSW
• Lauren Marcella Sullivan, PT, DPT
• Madeline Sullivan
• Stephen Patrick Sullivan, RBT
• Aminata Suma
• Sia Sumana
• Brytani C Sumby
• Peter J Sumner, D.O.

• Speech-Language Pathologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.