Jill Marie Sullivan, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003385 Issued in MI

Practice address

301 S Lafayette St
South Lyon, MI 48178-1407

Phone

(248) 486-1110

Fax

(248) 486-3318

NPI assigned

Nov 13, 2006

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

Merit-based Incentive Payment System (MIPS)

Final score

80.38 of 100Reported as group

Quality

80.41

Improvement activities

40

Cost

60.72

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.

• Kinetic Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • South Lyon, MI
  • NPI 1235670373
  NPD (past)
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Livonia, MI
  • NPI 1689691388
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780755405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59075 TRAVIS RD",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481659578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781407",
            "telephone_number": "248-486-1110",
            "fax_number": "248-486-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward F Stimac, D.D.S.
• Allison Stoddard, LMSW
• Sarah Rose Sudbay, DNP, AGACNP-BC
• Esther Borah Suh, DDS
• James Sullivan, PTA
• Katelyn Sullivan, DO
• Kyle Sullivan, DPT
• Sunrise Dental Associates (Sunrise Family Dental Care)
• Matthew Scott Swan, OTR
• Matthew Swartz, LMSW

• Physical Therapist in South Lyon, MI
• Providers in South Lyon, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.