Sean Kevin Sullivan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013824 Issued in NY

Practice address

2904 Bruckner Blvd
Bronx, NY 10465-2101

Phone

(347) 582-2534

Fax

(347) 582-2859

NPI assigned

Jun 6, 2006

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Hudson in Home Physical Therapy and Occupational Therapy PLLC

  • Physical Rehabilitation Occupational Therapist
  • Bronx, NY
  • NPI 1366197758

  Physical Therapist

  NPD (past)
• Prohealth Care Associates, LLP

  • Physical Therapist
  • Carmel, NY
  • NPI 1508324898
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669411450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652101",
            "telephone_number": "347-582-2534",
            "fax_number": "347-582-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652101",
            "telephone_number": "347-582-2534",
            "fax_number": "347-582-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SEAN",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Sullivan
• Mary Sullivan
• Oliver Sullivan, DMD
• Rachel Ann Sullivan
• Raven Dominique Bedonia Sullivan, PT, DPT
• Siobhan Marie Sullivan, TSSLD
• Geralde Sully
• Daniel Sultan, DDS, MD
• Leon Isaac Sultan, D.O.
• Carmen J. Sultana, M.D.

• Physical Therapist in Bronx, NY
• Providers in Bronx, 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 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.