- Practice location
- 360 State Route 17M Ste 4, Monroe, NY 10950-3444
- Phone
- 845-810-0078
- Fax
- 845-262-2466
- Last updated
- December 29, 2011
Justin Sullivan is a Physical Therapist based in Monroe, NY. Justin Sullivan practices in Monroe, NY and has the professional credentials of DPT. The NPI Number for Justin Sullivan is 1467632919 and holds a License No. 40QA01265000 (NJ). The current practice location address for Justin Sullivan is 360 State Route 17M Ste 4, Monroe, NY 10950-3444 and can be reached out via phone at 845-810-0078 and via fax at 845-262-2466.
Provider Profile Details
- NPI Number
- 1467632919
- Provider Name
- Justin Sullivan
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 360 State Route 17M Ste 4, Monroe, NY 10950-3444
- Phone Number
- 845-810-0078
- Fax Number
- 845-262-2466
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 13, 2007
- Last Update Date
- December 29, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 State Route 17M Ste 4
Monroe, NY 10950-3444 - City
- Monroe
- State
- New York
- Zip
- 10950-3444
- Phone Number
- 845-810-0078
- Fax Number
- 845-262-2466
Provider Business Mailing Address Details
- Address
- 360 State Route 17M Ste 4
Monroe, NY 10950-3444 - City
- Monroe
- State
- NY
- Zip
- 10950-3444
- Phone Number
- 845-810-0078
- Fax Number
- 845-262-2466
License Information
- License Number (1)
- 40QA01265000
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 62 033294
- License State (2)
- NY
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Monroe, NY
View all Physical Therapists in Monroe →- Alyssa M Mayrer, DPTPhysical Therapist · NPI 1154707651
- Amy ReesePhysical Therapist · NPI 1619429255
- Caleigh G CahoonPhysical Therapist · NPI 1639952195
- Caryn L Dinetz, LPTPhysical Therapist · NPI 1316925019
- Christopher J Ruiz, PTPhysical Therapist · NPI 1245149293
- Connor MckernanPhysical Therapist · NPI 1740066828
Frequently Asked Questions
What is the NPI number of Dr. Justin Sullivan, DPT?
The NPI number of Dr. Justin Sullivan, DPT is 1467632919. It was assigned on November 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Justin Sullivan, DPT?
Dr. Justin Sullivan, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01265000.
Where does Dr. Justin Sullivan, DPT practice?
The practice location is 360 State Route 17M Ste 4, Monroe, NY 10950-3444. The office can be reached at 845-810-0078 (phone) or 845-262-2466 (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 1467632919 directly on the NPPES registry website.