Christina M. Sullivan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60578654 Issued in WA

Practice address

4060 Wheaton Way
Ste. C
Bremerton, WA 98310-3500

Phone

(360) 479-8477

Fax

(360) 479-8417

NPI assigned

May 27, 2010

Last updated

Dec 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Christina M. Rowton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MVP Physical Therapy, Inc.

  • Physical Therapist
  • Port Orchard, WA
  • NPI 1376501643
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1932428141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "STE. 700",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WHEATON WAY",
            "address_2": "STE. C",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103500",
            "telephone_number": "360-479-8477",
            "fax_number": "360-479-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTINA",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4047",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60578654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ROWTON",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacklynne Suzanne Nyman Stroup
• Jennifer Norris Stutz, PHARM D
• Brandon Suazo
• Amanda Lynn Sublett, AAC
• Camden Suhay, CDPT
• George Blake Sullivan
• Thomas Patrick Sullivan, PTA
• Sheba Summers
• Sunbrooke Senior Living LLC Dba Cypress Gardens Retirement
• Kathryn Supko, PA-C

• Physical Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.