SEAN DAVID SULLIVAN (NPI# 1114294329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114294329 |
| Entity Type | Individual |
| Full Name | SEAN DAVID SULLIVAN |
| Credential | PTA/L |
| Practice Address |
804 Pleasant St Brockton MA 02301-3055 |
| Mailing Address |
42 Biscayne Ave Weymouth MA 02188-3025 |
| Practice Telephone | 5085836000 |
| Mailing Telephone | 7816829148 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 3586 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
| 1750421830 | Sean Timothy Sullivan | Dentist | 18625 Hoich Dr, Omaha, NE 68136-1233 | 2007-02-07 |
| 1265495857 | Sean Patrick Sullivan | Registered Nurse | 141 Lakeshore Dr, Unit A6, Racine, WI 53403-9653 | 2006-04-06 |
| 1093316929 | Sean Sullivan | Pharmacist | 5000 W Pauline Whitaker Pkwy, Rogers, AR 72758-9104 | 2020-11-06 |
| 1043872138 | Sean Sullivan | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2019-06-28 |
| 1063906071 | Sean Sullivan | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-06-22 |
| 1477057958 | Sean Harry Sullivan Jr. | Surgery | 251 E Huron St, Chicago, IL 60611 | 2018-03-20 |
| 1881064970 | Sean Sullivan | Physical Therapist | 30 Broad St, Floor 12, New York, NY 10004-2304 | 2015-10-01 |
| 1932596772 | Sean Patrick Sullivan | Pediatrics | 3901 Beaubien St, Detroit, MI 48201 | 2015-04-20 |
| 1669871604 | Sean Raymond Sullivan | Physical Therapist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2014-08-15 |
| Street Address |
804 PLEASANT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066990 | Alliance Health of Brockton, Inc. | Skilled Nursing Facility | 804 Pleasant St, Brockton, MA 02301-3055 | 2005-07-11 |
| 1821409327 | Rachel Lamson | Physical Therapist | 804 Pleasant St, Brockton, MA 02301-3055 | 2014-05-19 |
| 1982955662 | Marcia Giella | Occupational Therapist | 804 Pleasant St, Brockton, MA 02301-3055 | 2012-09-21 |
| 1467707604 | Susan K Chiavaroli | Physical Therapy Assistant | 804 Pleasant St, Brockton, MA 02301-3055 | 2012-07-13 |
| 1619266525 | Jeffrey Bruno | Health Maintenance Organization | 804 Pleasant St, Brockton, MA 02301-3055 | 2011-03-31 |
| 1871899419 | Frederick John Gardiner | Physical Therapy Assistant | 804 Pleasant St, Brockton, MA 02301-3055 | 2011-01-30 |
| 1235435934 | Amanda J Slipp | Speech-Language Pathologist | 804 Pleasant St, Brockton, MA 02301-3055 | 2011-01-28 |
| 1154551000 | Robin L Sawyer | Physical Therapy Assistant | 804 Pleasant St, Brockton, MA 02301-3055 | 2009-07-24 |
| 1487884458 | Patricia Ann Brophy | Occupational Therapist | 804 Pleasant St, Brockton, MA 02301-3055 | 2009-07-23 |
| 1861622821 | Jaymie Genatossio | Occupational Therapy Assistant | 804 Pleasant St, Brockton, MA 02301-3055 | 2009-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1134650278 | Kelvin Mwai | Physical Therapy Assistant | 30 Auna Dr Apt 8, Brockton, MA 02301-3654 | 2017-03-21 |
| 1184070773 | Caroline Wahito Maina | Physical Therapy Assistant | 30 Auna Dr, Apt 8, Brockton, MA 02301-3674 | 2016-05-12 |
| 1386921146 | Mary P Lynch | Physical Therapy Assistant | 57 Manners Ave, Brockton, MA 02301-1418 | 2011-11-08 |
| 1972734887 | Ashley Nicole Williams | Physical Therapy Assistant | 55 Farrington St, Brockton, MA 02301-2704 | 2009-07-28 |
| 1326285925 | Nancy A. Leonard | Physical Therapy Assistant | 24 Keith Ave, Brockton, MA 02301-6818 | 2009-01-19 |
| 1104088426 | Cheryl Ann Comperchio | Physical Therapy Assistant | 55 Bates Rd, Brockton, MA 02302 | 2008-06-27 |
| 1225201056 | Emmanuella Davilus | Physical Therapy Assistant | 40 Reservoir St, #212, Brockton, MA 02301-1166 | 2008-04-13 |
| 1437362050 | Melissa Marie Atkins | Physical Therapy Assistant | 61 Keene St, Brockton, MA 02301-1746 | 2007-05-08 |
| 1194813626 | Jared D Vinc | Physical Therapy Assistant | 329 Green St, Brockton, PA 17925-8835 | 2006-10-10 |
| 1962909911 | Joan Elizabeth Padrenoss | Physical Therapy Assistant | 165 Court St, Brockton, MA 02302-4608 | 2018-04-06 |
| Find all providers in BROCKTON | ||||
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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.