Michael Sullivan II

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

21508 Issued in FL

Practice address

617 SE 5TH St
Delray Beach, FL 33483-5222

Phone

(850) 345-7540

NPI assigned

May 27, 2009

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1588899066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 SE 5TH ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 SE 5TH ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835222",
            "telephone_number": "850-345-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MICHAEL",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "21508",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suely Corp
• Sujatha Ramamurthy MD PA
• Mintra Sukal, MD
• Cecilia Maraguinot Sularte-Garcia, PT
• Dani Sullivan, LCSW, MSW
• Sun Bright Inc
• Suncare Medical Corp
• Prethi Sundaram-Mohip, D.O.
• Verna Sunkara
• Sunlife Live-Ins & More Homecare Services, LLC

• Physical Therapy Assistant in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapy Assistant in Florida

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