MRS. KELLY GOODRICH SULLIVAN (NPI# 1053713024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053713024 |
| Entity Type | Individual |
| Full Name | MRS. KELLY GOODRICH SULLIVAN |
| Credential | MS, PT |
| Practice Address |
2035 Gayle Pl Clearwater FL 33763-4217 |
| Practice Telephone | 7274218161 |
| Practice Fax Number | 7274435358 |
| Mailing Telephone | 7274218161 |
| Mailing Fax Number | 7274435358 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT9042 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832205 | Kelly E Sullivan | Nurse Practitioner | 10020 Southern Maryland Blvd Ste 202, Dunkirk, MD 20754-3055 | 2020-08-20 |
| 1124670724 | Kelly Elizabeth Sullivan | Occupational Therapy Assistant | 12 Deforest Rd, Lansdowne, PA 19050-2109 | 2019-07-12 |
| 1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
| 1134642267 | Kelly Glen Sullivan | Durable Medical Equipment & Medical Supplies | 3345 Seajay Dr, Beavercreek, OH 45430-1365 | 2017-07-20 |
| 1831636778 | Kelly Sullivan | Assistant Behavior Analyst | 273 Powell Cir, Berlin, MD 21811-1185 | 2017-01-30 |
| 1396197521 | Kelly Sullivan | Speech-Language Pathologist | 82 Ridgecrest Dr, Pittsburgh, PA 15235-4548 | 2016-07-12 |
| 1548657851 | Kelly Sullivan | Speech-Language Pathologist | 1021 Wind River Pkwy, Morrisville, NC 27560-8233 | 2015-04-24 |
| 1568867877 | Kelly Sullivan | Speech-Language Pathologist | 14105 Snow Rd, Brookpark, OH 44142-2557 | 2014-10-29 |
| 1730595752 | Kelly Sullivan | Registered Nurse | 8 Jacqueline Ct, Port Jefferson Station, NY 11776-3117 | 2014-07-10 |
| 1467610998 | Kelly G Sullivan | Social Worker | 321 Burncoat St, Worcester, MA 01606-3141 | 2008-05-30 |
| Street Address |
2035 GAYLE PL |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33763-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205201613 | Joshua Roop | Counselor | 2725 Park Dr Ste 2f, Clearwater, FL 33763 | 2015-12-10 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1568893840 | Shawna Byrd | Counselor | 2725 Park Dr Ste 2e, Clearwater, FL 33763 | 2013-12-11 |
| 1265670178 | Clearwater Chiropractic Center LLC | Chiropractor | 25400 Us Highway 19 North, Suite 112, Clearwater, FL 33763 | 2009-01-30 |
| 1447472667 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2555 Enterprise Road, Suite 3, Clearwater, FL 33763 | 2007-05-03 |
| 1376679464 | Mary Ellen Baker-gayne | Counselor | 2555 Enterprise Rd., Ste. 2, Clearwater, FL 33763 | 2007-02-26 |
| 1669524708 | Robert Steven Colen | Counselor | 24761 Us 19 North, Ste 680, Clearwater, FL 33763 | 2007-01-17 |
| 1780758037 | Diana Lynn Summers Denta | Social Worker | 24761 Us Hwy 19 N, Suite 680, Clearwater, FL 33763 | 2006-11-20 |
| 1891808952 | Cynthia Douglas Lewis | Chiropractor | 24945 Us 19 N, Clearwater, FL 33763 | 2006-08-15 |
| 1285641084 | David P Crowley | Chiropractor | 24945 Us Hwy 19 N, Clearwater, FL 33763 | 2006-08-02 |
| Find all providers in zip 33763 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814777 | Thomas Sherman | Physical Therapist | 1249 Eldridge St, Clearwater, FL 33755-4312 | 2020-08-31 |
| 1861021958 | Breakthru Therapy and Wellness LLC | Physical Therapist | 2022 Hillwood Dr, Clearwater, FL 33763-1315 | 2020-04-02 |
| 1841768900 | Christopher Pasqual | Physical Therapist | 612 Druid Rd E Ste D, Clearwater, FL 33756-3912 | 2018-11-07 |
| 1659862233 | Marguerite Thompson | Physical Therapist | 2244 Steven St, Clearwater, FL 33759-1419 | 2018-05-19 |
| 1205330537 | Catherine Mitchell-caballero | Physical Therapist | 13630 58th St N Ste 103b, Clearwater, FL 33760-3734 | 2018-03-21 |
| 1861906836 | Emilee Sobucki | Physical Therapist | 29605 Us Highway 19 N Ste 360, Clearwater, FL 33761-1539 | 2017-11-28 |
| 1740705300 | Riddhi Desai | Physical Therapist | 14330 58th St N Apt 7202, Clearwater, FL 33760-2823 | 2017-08-04 |
| 1396269510 | Renee L Davis | Physical Therapist | 13630 58th St N Ste 103c, Clearwater, FL 33760-3734 | 2017-07-30 |
| 1477081461 | Danielle Lynn Rodgers | Physical Therapist | 73 N Park Place Blvd Ste 102, Clearwater, FL 33759-3917 | 2017-06-02 |
| 1568830719 | Collin William Wallace | Physical Therapist | 2349 Sunset Point Rd Ste 400, Clearwater, FL 33765-1439 | 2015-09-04 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33763 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.