Shelley Sullivan, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

786PT Issued in MT

Practice address

1309 Harrison Ave
Butte, MT 59701-4801

Phone

(406) 782-5887

Fax

(406) 782-8772

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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 MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Center for Physical Therapy & Wellness Inc

  • Physical Therapy Clinic/Center
  • Butte, MT
  • NPI 1790866259
  Medicare reassignment Authorized official
• The Center of Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1104908805
  NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1710060918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-782-5887",
            "fax_number": "406-782-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-782-5887",
            "fax_number": "406-782-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHELLEY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "786PT",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "786PT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strength in Motion LLC
• Cassidy Strizic
• Julie Strong
• Michael Wayne Stuart, DDS
• Donald Richard Sullivan, PHYSICIAN ASSISTANT
• Summit Laboratory Partnership
• Summit Surgery Center LLC
• Surgical Solutions of Southwest Montana PC
• Tristan Ashley Svejkovsky, FNP-BC
• Warren M Swager, M.D.

• Orthopedic Physical Therapist in Butte, MT
• Providers in Butte, MT by specialty
• Orthopedic Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.