Kristina Ann Sullivan, MPT, ATC, LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009004976 Issued in MO

Practice address

3950 Vogel Rd
Arnold, MO 63010-3790

Phone

(636) 461-0900

Fax

(636) 461-0047

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Kristina A Temporiti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristina.sullivan.p2@direct.athleticoltd.nextgenshare.com

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.

• Rueschhoff Physical Therapy Inc

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1437155314
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1871554352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 PARKRIDGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631234825",
            "telephone_number": "314-608-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 VOGEL RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103790",
            "telephone_number": "636-461-0900",
            "fax_number": "636-461-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MPT, ATC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009004976",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2010036452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "TEMPORITI",
            "middle_name": "A",
            "credential": "MPT,ATC, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison H Story, PT, DPT
• Tina Straatmann
• Abigail Grace Street
• Deanna Marie Stuart, M.S. CCC-SLP/L
• Stephanie Lynn Stumpf, FNP
• Ghada Sultani-Hoffman, LCSW, LPC
• Alexandra J Sutphin, LCSW
• Mandie Swart, COTA/L
• Benjamin Swedholm
• Taylor Swim, DDS

• Physical Therapist in Arnold, MO
• Providers in Arnold, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.