Ryan James Sullivan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015850 Issued in MI

Practice address

3536 Meridian Crossings
Suite 240
Okemos, MI 48864-4584

Phone

(517) 347-2495

Fax

(517) 347-3540

NPI assigned

Mar 14, 2012

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

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.

• Center for Physical Rehabilitation and Therapy LP

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1902288863

  Physical Therapist

  NPD (past)
• Crossroads Rehabilitation Limited Partnership

  • Physical Therapist
  • Okemos, MI
  • NPI 1083650550
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1689949331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "SUITE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "SUITE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle M Stroh, M.A.
• Sharon Strouse, MA, LLP
• Cynthia Anne Stuard, NURSE PRACTITIONER
• Brenna Stuart
• Sathyanarayan Sudhanthar, MD
• Sharon Anderson Sumler, LMSW
• Alexandra J. Sumpter, MA, LPC
• Sung G Lee MD PC
• Sunita Muranjan PLLC
• Support Network Counseling LLC

• Physical Therapist in Okemos, MI
• Providers in Okemos, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.