Stephanie J Sullano, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1139350 Issued in TX

Practice address

1201 Brooks Street
Sugar Land, TX 77478-4000

Phone

(281) 690-4678

Fax

(281) 690-4608

NPI assigned

Feb 2, 2007

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 names 1

• Mrs. Stephanie J Kerwin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801934716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROOKS STREET",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784900",
            "telephone_number": "281-690-4607",
            "fax_number": "281-690-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROOKS STREET",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784000",
            "telephone_number": "281-690-4678",
            "fax_number": "281-690-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLANO",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KERWIN",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sugarland SNF, LLC
• Sugarland Sports Medicine and Injury Clinic LLC
• Sugarland Trinity Home Health Care, Inc.
• Janelle Noelyn Sugay, PA-C
• Suleman Lalani, M.D.,P.a.
• Allison Sullivan
• Elizabeth Kayann Sullivan
• Karen T Sullivan, LCSW
• Suman C Ravuri MD PA
• Tarrien Artez Sumerall

• Physical Therapist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Physical Therapist in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.