Active NPIIndividual providerSole proprietor

Paul Sullivan, PT, DPT

Physical Therapist in Forked River, New Jersey

NPI Number1245695402
Practice location
34 Manchester Ave, Forked River, NJ 08731-1366
Fax
609-693-9347
Last updated
June 1, 2016

Paul Sullivan is a Physical Therapist based in Forked River, NJ. Paul Sullivan practices in Forked River, NJ and has the professional credentials of PT, DPT. The NPI Number for Paul Sullivan is 1245695402 and holds a License No. 40QA01649500 (NJ). The current practice location address for Paul Sullivan is 34 Manchester Ave, Forked River, NJ 08731-1366 and can be reached out via phone at 609-693-9345 and via fax at 609-693-9347.

Provider Profile Details

NPI Number
1245695402
Provider Name
Paul Sullivan
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
34 Manchester Ave, Forked River, NJ 08731-1366
Phone Number
609-693-9345
Fax Number
609-693-9347
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 15, 2015
Last Update Date
June 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Manchester Ave
Forked River, NJ 08731-1366
Zip
08731-1366
Phone Number
609-693-9345
Fax Number
609-693-9347
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
833 Chestnut St
Ste 1402
Philadelphia, PA 19107-4404
City
Philadelphia
State
PA
Zip
19107-4404
Phone Number
800-321-9999
Fax Number
267-339-3761

License Information

License Number
40QA01649500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Paul Sullivan, PT, DPT?

The NPI number of Paul Sullivan, PT, DPT is 1245695402. It was assigned on December 15, 2015 and is currently active in the NPPES registry.

What is the specialty of Paul Sullivan, PT, DPT?

Paul Sullivan, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01649500.

Where does Paul Sullivan, PT, DPT practice?

The practice location is 34 Manchester Ave, Forked River, NJ 08731-1366. The office can be reached at 609-693-9345 (phone) or 609-693-9347 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245695402 directly on the NPPES registry website.

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