Joseph Francis Sullivan, PT, OCS

Primary specialty

SpecialistTaxonomy code 174400000X

License

010123 Issued in NY

Practice address

44 Broadway
Lynbrook, NY 11563-2519

Phone

(516) 599-8734

Fax

(516) 599-5969

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Western Nassau PT

  dba Peak Performance PT

  • Specialist
  • New Hyde Park, NY
  • NPI 1093861163
  NPD (past) Authorized official
• Physical Solutions LLP

  • Physical Therapist
  • Mineola, NY
  • NPI 1235215989
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1972679363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-599-8734",
            "fax_number": "516-599-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-599-8734",
            "fax_number": "516-599-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOSEPH",
        "middle_name": "FRANCIS",
        "credential": "PT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "010123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC8154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Ann Stieglitz, LCAT ATR-BC
• Carmella Anne Stone-Klein, ATR
• Vincent James Stracuzzi, M.D.
• Streaming Growgh87 Inc
• Alysia Suarez
• Preeja Sunny-George
• Sunset Optical Inc (Vision Quest)
• Steven Michael Suran, D.P.M.
• Susan Friedman Orthodontics PC (Susan Friedman Orthodontics)
• Taftcare Pharmacy Inc.

• Specialist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.