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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10366-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PT | 10366-24 | 01 |
| 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 |
| Street Address |
1630 COMMANCHE AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-6089 |
| 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 |
| Find all providers in the same location | ||||
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on KATIE LEIGH SULLIVAN.
| 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.