KATIE LEIGH SULLIVAN


Address: 1630 Commanche Ave, Green Bay, WI 54313-6089
Phone: 9204334700

KATIE LEIGH SULLIVAN (NPI# 1073534863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073534863
Entity Type Individual
Full Name KATIE LEIGH SULLIVAN
Credential PT
Practice Address 1630 Commanche Ave
Green Bay
WI 54313-6089
Mailing Address Po Box 22487
Green Bay
WI 54305-2487
Practice Telephone 9204334700
Mailing Telephone 9204457222
Enumeration Date 2006-07-21
Last Update Date 2015-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 10366-24 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI PT 10366-24 01

Other Providers KATIE SULLIVAN

NPI Name Taxonomy Address Enumeration
1558970251 Katie Michelle Sullivan Nurse Practitioner 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2020-07-28
1730715830 Katie Sullivan Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-03-20
1336784628 Katie Halleran Sullivan Nurse Practitioner 3919 N Maple St, Spokane, WA 99205-1349 2019-11-11
1033775473 Katie Lorin Sullivan Physical Therapist 3947 Gulf Shores Pkwy Ste 260, Gulf Shores, AL 36542-2729 2019-05-10
1578022430 Katie Sullivan Behavior Technician 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 2019-03-19
1740732080 Katie E. Sullivan Physical Therapist 2106 Executive Dr, Hampton, VA 23666-2402 2016-11-03
1649524059 Katie Jo Sullivan Nurse Practitioner 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 2012-11-07
1447543079 Katie Marie Sullivan Developmental Therapist 321 Fortune Blvd, Milford, MA 01757-1750 2011-05-16
1851556559 Katie L Sullivan Speech-Language Pathologist 5040 E Shea Blvd, Suite 168, Scottsdale, AZ 85254-4600 2008-07-22

Office Location

Street Address 1630 COMMANCHE AVE
City GREEN BAY
State WI
Zip Code 54313-6089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568456598 Mark Thomas Husen Specialist/Technologist 1630 Commanche Ave, Green Bay, WI 54313-5753 2005-09-06
1730790577 Haley A Steffanus Occupational Therapist 1630 Commanche Ave, Green Bay, WI 54313-5753 2020-08-14
1669097788 Ashley Nicole Hopp Counselor 1630 Commanche Ave, Green Bay, WI 54313-5753 2020-06-15
1992339865 Thomas D Nachtwey Occupational Therapist 1630 Commanche Ave, Green Bay, WI 54313-5753 2020-02-28
1922562164 Cori M Thayse Registered Nurse 1630 Commanche Ave, Green Bay, WI 54313-5753 2019-01-22
1558843128 Andrew D Kausak Physical Therapist 1630 Commanche Ave, Green Bay, WI 54313-5753 2018-08-30
1326559592 Baycare Clinic, LLP Neurological Surgery 1630 Commanche Ave, Green Bay, WI 54313-5753 2017-10-16
1942728001 Katie L Boehm Physical Therapist 1630 Commanche Ave, Green Bay, WI 54313-5753 2017-09-08
1205350865 Jacob R Birdsall Physical Therapist 1630 Commanche Ave, Green Bay, WI 54313-5753 2017-07-26
1922528801 Jacob Paul Meyer Family Medicine 1630 Commanche Ave, Green Bay, WI 54313-5753 2017-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548823420 Martha Lynn Drew Licensed Practical Nurse 3101 Molly Brown Lane, Green Day, WI 54313 2019-04-17
1831691872 Melanie Hammerbeck Dentist 1756 Cardinal Ln, Green Bay, WI 54313 2018-03-06
1649727108 Amanda Marie Mckeefry Dental Hygienist 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 2016-09-01
1326594813 Kaylee Schartner Dental Hygienist 2304 Lineville Road, Suite 100, Suamico, WI 54313 2016-08-25
1134500226 Salvanz Enterprises Inc Pharmacy 2673 Lineville Road, Green Bay, WI 54313 2015-06-15
1467849307 Maureen Riordan Specialist/Technologist 2957 S Telemark Cir., Green Bay, WI 54313 2015-04-17
1043556780 Kellen James Binder Chiropractor 2638 Tulip Lane, Suite B, Green Bay, WI 54313 2012-12-28
1407092737 Sara Ann Anderson Registered Nurse 2691 Shade Tree Ln, Green Bay, WI 54313 2008-12-16
1467601344 Melissa Lea Socha Speech-Language Pathologist 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 2008-09-16
1003070707 Anne Marie Hein Physical Therapist 3101 S Packerland Dr, Green Bay, WI 54313 2008-07-11
Find all providers in zip 54313

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356967558 Theresa Ynez Baclohan Polistico Physical Therapist 2080 Verlin Rd Apt 16, Green Bay, WI 54311-6289 2020-06-23
1245716190 John Kiskin Physical Therapist 403 N Ashland Ave, Green Bay, WI 54303-2803 2018-07-13
1689120941 Sarah Lynn Anderson Physical Therapist 835 Webster, Green Bay, WI 54301-3526 2016-08-28
1164802567 Bradley D Sarder Physical Therapist 2845 Greenbrier Rd Fl 2, Green Bay, WI 54311-6519 2015-06-02
1275943276 Joshua Arvey Physical Therapist 615 Rolling Green Dr, Green Bay, WI 54313-5146 2014-04-30
1801192422 Michael John Laviolette Physical Therapist 740 Aerostar Ln, Green Bay, WI 54313-6987 2011-01-28
1184873564 Shawn G. Christenson Physical Therapist 600 S. Webster, Green Bay, WI 54301 2008-09-10
1003070707 Anne Marie Hein Physical Therapist 3101 S Packerland Dr, Green Bay, WI 54313 2008-07-11
1669648119 Renee Anderson Physical Therapist 3101 Packerland Dr, Green Bay, WI 54313-6187 2008-05-05
1093981623 Jennifer Lynn Balthazor Physical Therapist 2919 Shelter Creek Ct, Green Bay, WI 54313-4549 2008-05-04
Find all providers in GREEN BAY

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City GREEN BAY
Zip Code 54313

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Dataset Information

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.

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