Thomas Patrick Sullivan, PTA

Physical Therapy Assistant · Bremerton, WA

Individual Active NPI

NPI number 1366963456

Practice location

560 Lebo Blvd
Bremerton, WA 98310-2617
Phone
(360) 479-1515

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NPI record

NPI
1366963456
Entity type
Individual (Type 1)
Enumeration date
June 29, 2017
Last updated
June 29, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X P160732078 WA

Mailing address

14519 Kingscross Cir NW
Silverdale, WA 98383-7996
Phone
(360) 261-5425

About Thomas Sullivan

Thomas Patrick Sullivan, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 560 Lebo Blvd, Bremerton, WA 98310-2617. The NPI number 1366963456 was assigned on June 29, 2017 and the record was last updated on June 29, 2017.

Thomas Sullivan lists a license in the registry: #P160732078 (WA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Patrick Sullivan, PTA?

The NPI number is 1366963456.

What is the phone number of Thomas Sullivan?

The phone number listed for the practice location is (360) 479-1515.

Where is Thomas Sullivan located?

560 Lebo Blvd, Bremerton, WA 98310-2617.

What is the taxonomy code for Thomas Sullivan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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