Kerri Sullivan, PT
Individual provider Active NPI Physical Therapist · Hurley, NY
NPI 1639489271 · NPPES record last updated Jan 4, 2025
Key facts
- NPI
- 1639489271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17755-1 (NY)
- Practice address
- 151 Fairway Drive
Hurley, NY 12443 - Phone
- (845) 340-8503
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017755-1 | NY | MD | Physical Therapist |
| 17755-1 | NY | MD | Physical Therapist |
| 017755 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17755-1 | NY | Yes |
| Physical Therapist | 225100000X | 017755-1 | NY |
Addresses
Primary practice location
151 Fairway Drive
Hurley, NY 12443
Mailing address
151 Fairway Drive
Hurley, NY 12443
Phone (845) 340-8503
Other providers in Hurley, NY
- Karen Rich
- Michael L Safran
- Eileen Beth Sandler
- Sawkill Family Medical Associates PC
- Jodie Sleed
- Donna D Trast
- Kalah L Williams-Matthews
- Deborah A. Winne
All providers in Hurley, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.