Brendan Sullivan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017907 Issued in NY

Practice address

8 Century Hill Dr
Suite 201
Latham, NY 12110-2193

Phone

(518) 690-4406

NPI assigned

Aug 18, 2005

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empire Fitness & Physical Therapy

  • Physical Therapist
  • Watervliet, NY
  • NPI 1861484602
  Medicare reassignment NPD Authorized official
• R.J.N. Physical Therapy P.L.L.C.

  • Physical Therapist
  • Latham, NY
  • NPI 1457322935
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1962494740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14631",
            "address_2": "EMPIRE FITNESS & PT, PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124631",
            "telephone_number": "518-690-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CENTURY HILL DR",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102193",
            "telephone_number": "518-690-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRENDAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathi Strain
• Jon Edward Streeter, RPA-C
• Matthew Thompson Stringer, D.O.
• Debra J Strohmaier, LOD
• Amanda Student, LCSW, DSW
• Maureen Mary Sullivan, MSW, CSW-R
• Rodelin Mendoza Sumiran, FNP-BC
• Diane Sweeney, PT
• Kayleigh M Sweet
• Bridget Catherine Swezey, M.S, CCC-SLP

• Physical Therapist in Latham, NY
• Providers in Latham, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.

Verify at the official NPI Registry.