Denise Sullivan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1247997 Issued in TX

Practice address

3838 50TH St
Lubbock, TX 79413-3808

Phone

(806) 792-5522

Fax

(806) 785-7582

NPI assigned

Sep 5, 2014

Last updated

May 9, 2022By the provider in NPPES

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

Other identifiers 1

Other names 1

• Denise Manley Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Physical Therapy and PerformanceGroup PAC ID 8729466552, 14 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DPT Physical Therapy & Performance

  • Physical Therapist
  • Stephenville, TX
  • NPI 1013662956
  Medicare reassignment Care Compare group NPD
• Bentz Physical Therapy, PC

  dba Bentz Physical Therapy

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1316042955
  Medicare reassignment NPD
• Physical Therapy Associates, LP

  • Physical Therapist
  • Lubbock, TX
  • NPI 1790890937
  Medicare reassignment NPD

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1720489073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133808",
            "telephone_number": "806-792-5522",
            "fax_number": "806-785-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133808",
            "telephone_number": "806-792-5522",
            "fax_number": "806-785-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DENISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1247997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12794143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MANLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Sturgeon, MD
• Su Casa Home Health Services, LLC
• Jose A Suarez, MD
• Brandon J Sue, PA-C
• Kysen Dane Sue, CPT
• Heather Sullivan, NP
• Sierra Lynn Sullivan, MD
• Dee Ann Summers la Fave, AUD
• Adam Jon Summers, MD
• Jamie Summers, FNP-C

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.