Brianna Sullivan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160999481 Issued in WA

Practice address

638 Okoma Dr
Omak, WA 98841-9525

Phone

(509) 826-1550

NPI assigned

Sep 6, 2023

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

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.

• Bright Start Services, LLC

  • Pediatric Occupational Therapist
  • Omak, WA
  • NPI 1952603300
  NPD

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1619753472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "WINTHROP",
            "state": "WA",
            "postal_code": "988621121",
            "telephone_number": "509-741-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 OKOMA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419525",
            "telephone_number": "509-826-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIANNA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160999481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Stahl, PA
• Jamie Lafawn Stanford
• Christina Jean Stclair
• Jennifer A Steinhouer
• Erik Strand
• Brian Clyde Sundquist
• Emma Diane Sutton
• Andrew C Swartsel, PA-C
• Stephanie Dawn Swezey, LMP
• Elizabeth Anne Swift, ARNP

• Physical Therapy Assistant in Omak, WA
• Providers in Omak, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.