Active NPI
Lindsay Mae Sullivan, DPT
- Physical Therapist
- Westwood, NJ
National Provider Identifier
1922653245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 223 Old Hook Rd
Westwood, NJ 07675-3132 - Phone
- (201) 666-2056
- NPI assigned
- Aug 4, 2019
- 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 | Primary |
Addresses
Primary practice location
223 Old Hook Rd
Westwood, NJ 07675-3132
Mailing address
17 Wedgewood Dr Apt 81
Verona, NJ 07044-4115
Phone (518) 321-4284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Staff Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590
49 Claremont Ave
Ste 5
Montclair, NJ 07042
Phone (973) 680-8390
265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500
Organizations & group practices 1
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 Therapy Clinic/Center
- Nutley, NJ
- NPI 1265750871
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564876800000",
"number": "1922653245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WEDGEWOOD DR APT 81",
"city": "VERONA",
"state": "NJ",
"postal_code": "070444115",
"telephone_number": "518-321-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 OLD HOOK RD",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753132",
"telephone_number": "201-666-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LINDSAY",
"middle_name": "MAE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-04",
"last_updated": "2019-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.