Katie E. Sullivan
Physical Therapist Physical Therapist - Neurology
3141 Centennial Blvd
Colorado Springs
, Colorado 80907-4094
Katie E. Sullivan
Physical Therapist Physical Therapist - Neurology
3141 Centennial Blvd
Colorado Springs
, Colorado 80907-4094
(192) 274-5347
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Katie E. Sullivan
- 3141 Centennial Blvd
- Colorado Springs, CO
- Zip : 80907-4094
- Phone : (192) 274-5347
Second Address
- Katie E. Sullivan
- 3141 Centennial Blvd
- Colorado Springs, CO
- Zip : 80907-4094
- Phone : (192) 274-5347
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2305210768 | VA |
| Y | 2251N0400X | Physical Therapist - Neurology | PTL.0016395 | CO |
National Provider Identifier
| NPI | 1740732080 |
|---|---|
| Provider Name | Katie E. Sullivan |
| First Address | Colorado Springs, CO 80907-4094 |
| Second Address | Colorado Springs, CO 80907-4094 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2016 |
| Last Update Date | 24/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C05954 | MEDICARE GROUP PTAN (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.