Aubin Gay Sullivan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024864 Issued in NY

Practice address

152 W 57TH St FL 6
New York, NY 10019-3310

Phone

(212) 799-6700

Fax

(212) 799-4533

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Centurion Physical Therapy and Associates PCGroup PAC ID 6305264953, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Centurion Physical Therapy and Associates PC

  • Physical Therapist
  • New York, NY
  • NPI 1457781882
  Medicare reassignment Care Compare group NPD
• Centurion Physical Therapy

  • Physical Therapist
  • New York, NY
  • NPI 1760506489
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1659468528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W 57TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193310",
            "telephone_number": "212-799-6700",
            "fax_number": "212-799-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W 57TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193310",
            "telephone_number": "212-799-6700",
            "fax_number": "212-799-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AUBIN",
        "middle_name": "GAY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Sullivan-Pond, LMSW
• Mary M. Sullivan-Whalen, FNP
• Alexander Sullivan, LMSW
• Andrea Sullivan
• Ashley Sullivan
• Aurora Rose Sullivan, MD
• Brendan James Sullivan, M.D.
• Brian William Sullivan, RPA
• Bridget Anne Sullivan, PA
• Caitlin Colleen Sullivan, MS, CCC-SLP

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.