Daniel J Sullivan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003662-1 Issued in NY

Practice address

80 8TH Ave
Suite 1008
New York, NY 10011-5126

Phone

(212) 989-9408

Fax

(212) 989-9408

NPI assigned

Mar 7, 2007

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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 and National Provider Directory roles.

• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1841526399
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982735684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 8TH AVE",
            "address_2": "SUITE 1008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115126",
            "telephone_number": "212-989-9408",
            "fax_number": "212-989-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 8TH AVE",
            "address_2": "SUITE 1008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115126",
            "telephone_number": "212-989-9408",
            "fax_number": "212-989-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003662-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Sullivan, MSW
• Colleen Murphy Sullivan
• Courtney Sullivan, M.S., RRA, RT(R), RD
• Courtney Louise Sullivan
• Daniel J Sullivan, BCBA
• Danielle Sullivan, OTR/L
• David Charles Anthony Sullivan, MD, MPH
• David J Sullivan, DDS
• Deborah Anne Sullivan, NPP
• Deirdre Catherine Sullivan

• Physical Therapist in New York, NY
• Providers in New York, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.