Meghan Nicole Sullivan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30395 Issued in FL

Practice address

301 Camino Gardens Blvd Ste 104
Boca Raton, FL 33432-5823

Phone

(561) 494-4499

NPI assigned

Aug 12, 2020

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

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1699386771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 SW 50TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142021",
            "telephone_number": "954-394-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CAMINO GARDENS BLVD STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325823",
            "telephone_number": "561-494-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGHAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Beth Sukenik, PSY.D., LMHC, NCC
• Rebecca Sukul, OD
• Sachin Sule, MD
• Colleen Marie Sullivan, PHARMD
• Kathleen Marie Sullivan, PHARMD
• Diane Summers, LMHC
• Sun Care LLC
• Sun Team Florida Inc.
• Sun Wellness Group
• Sunbelt Pharmacy and Discount Corp

• Physical Therapy Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.