Sharyl Sullivan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

508 W Trilby Rd
Fort Collins, CO 80525-4054

Phone

(970) 226-4909

NPI assigned

Jul 7, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1942463369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 WAGON TRAIN DR",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805433011",
            "telephone_number": "720-495-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W TRILBY RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254054",
            "telephone_number": "970-226-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHARYL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna L Sullivan, M.D.
• Hadleigh Anne Sullivan
• Kelly Sullivan, CAC III, QMAP, BA
• Laura Sullivan, RN
• Mary Sullivan, MFT
• Wendy Sultzman, OTR
• Alyse Kathleen Sumanis
• Karen Elizabeth Sumi, LMFT
• Angela Summers
• Nicole Summers, LCSW

• Physical Therapy Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.