Active NPI
Catherine Sullivan, PT
- Physical Therapist
- Plymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10077
- Practice address
- 16 Aldrin Rd
Plymouth, MA 02360-4804 - Phone
- (508) 830-0093
- Fax
- (508) 830-1425
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10077 | MA | Primary |
Addresses
Primary practice location
16 Aldrin Rd
Plymouth, MA 02360-4804
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110012401A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Mill St
Arlington, MA 02476-4744
Phone (781) 646-8440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Barley Family Healthcare & Rehabilitation PC | Physical Therapist | Past | Accepting new patients |
| South Shore Chiropractic Care, P.C. | Past | Accepting new patients |
Locations
22 Mill St
Ste 406
Arlington, MA 02476
Phone (781) 646-8440
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
703 Granite St
Fl 3
Braintree, MA 02184
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
16 Aldrin Rd
Plymouth, MA 02360
Phone (508) 728-8727
111 Willard St
Ste 2A
Quincy, MA 02169
Phone (617) 471-4491
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
Organizations & group practices 4
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.
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
- Physical Therapist
- Brockton, MA
- NPI 1740390459
-
- Chiropractor
- Fairhaven, MA
- NPI 1043240849
Physical Therapist
-
- Orthopedic Chiropractor
- Norwell, MA
- NPI 1457543282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1922050574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY FL 3",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684633",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ALDRIN RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604804",
"telephone_number": "508-830-0093",
"fax_number": "508-830-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "CATHERINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110012401A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.