Melanie Nicole Sullivan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203643 Issued in VA

Practice address

13737 Spotswood TRL
Elkton, VA 22827-3200

Phone

(540) 298-4468

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By 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 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609989896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 NEWPORT RD",
            "city": "SHENANDOAH",
            "state": "VA",
            "postal_code": "228493106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 SPOTSWOOD TRL",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228273200",
            "telephone_number": "540-298-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MELANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Shifflett, ATC-VAL
• Patrick B Smith, DPT
• Speech and Language Center PLLC
• Arthur F. Strunk, MSN, FNP
• Anna Maria Sullivan, M.S.-CCC-SLP
• Amanda Pettyjohn Suter, PHARMD
• Asa Richard Talbot, MD
• Donna Carole Thacker, NP-C
• John W. Timmons, MD
• Janice Lorene Usnick, DMD

• Physical Therapist in Elkton, VA
• Providers in Elkton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.