MRS. MARIA SULLIVAN (NPI# 1376653964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376653964 |
| Entity Type | Individual |
| Full Name | MRS. MARIA SULLIVAN |
| Credential | PTA |
| Practice Address |
540 Lake Center Pkwy Suite 107 Cumming GA 30040-7727 |
| Mailing Address |
1520 Purple Martin Trce Cumming GA 30041-9343 |
| Practice Telephone | 7702053939 |
| Mailing Telephone | 7708861332 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE# | PTA001177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437203999 | Maria A. Sullivan | Psychiatry & Neurology | 140 Riverside Dr # 1- O, New York, NY 10024-2605 | 2007-01-22 |
| 1760934368 | Maria Sullivan | Counselor | 1734 Jefferson St, Ste. B, Napa, CA 94559-1732 | 2016-10-29 |
| 1902272651 | Maria Sullivan | Social Worker | 4 Cornerstone Dr, Langhorne, PA 19047-1314 | 2015-08-17 |
| 1417281486 | Maria A Sullivan | Speech-Language Pathologist | 1630 E 15th St, Brooklyn, NY 11229-1147 | 2009-09-23 |
| 1346485398 | Maria Sullivan | Physical Therapist | 2778 Bruckner Blvd, Bronx, NY 10465-1934 | 2008-12-04 |
| 1740470152 | Maria Teresa Sullivan | Social Worker | 71 Haynes St, Manchester, CT 06040-4131 | 2007-08-01 |
| 1972635399 | Maria Luizzi Sullivan | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2007-03-12 |
| 1508957689 | Maria C. Sullivan | Nurse Practitioner | 74 Main St, Medway, MA 02053-1824 | 2006-09-27 |
| Street Address |
540 LAKE CENTER PKWY SUITE 107 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366552200 | Jill Mathis | Physical Therapist | 540 Lake Center Pkwy, Suite 107, Cumming, GA 30040-7727 | 2006-08-30 |
| 1528502358 | Derrick Andrew Bass | Specialist/Technologist | 540 Lake Center Pkwy, Suite 107, Cumming, GA 30040-7727 | 2016-12-13 |
| 1760859698 | Nhat Ho | Physical Therapist | 540 Lake Center Pkwy, Cumming, GA 30040-7727 | 2015-08-26 |
| 1154754109 | Aaron M Gray | Specialist | 540 Lake Center Pkwy, Suite 107, Cumming, GA 30040-7727 | 2013-08-13 |
| 1104079771 | Ellen Welch | Physical Therapist | 540 Lake Center Pkwy, Ste 107, Cumming, GA 30040-7727 | 2008-10-28 |
| 1053509299 | Champion Physical Therapy LLC | Physical Therapist | 540 Lake Center Pkwy, Suiet 107, Cumming, GA 30040-7727 | 2007-10-12 |
| 1295813269 | Matthew Foltz | Physical Therapist | 540 Lake Center Pkwy, Suite 107, Cumming, GA 30040-7727 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1730787078 | Karen Welch | Physical Therapy Assistant | 7730 Wallace Tatum Rd, Cumming, GA 30028-7917 | 2020-10-09 |
| 1528628294 | Lori Beth Lenz | Physical Therapy Assistant | 311 Azalea Cir, Cumming, GA 30040-7709 | 2019-06-15 |
| 1205386679 | Alena Koval | Physical Therapy Assistant | 5235 Double Branches Dr, Cumming, GA 30040-6360 | 2016-10-10 |
| 1902411390 | Louise Irma Stratton | Physical Therapy Assistant | 3875 Post Rd, Cumming, GA 30040-5354 | 2020-09-11 |
| 1396209110 | Aubie Blake Mcdaniel | Physical Therapy Assistant | 5610 Hampton Park Dr, Cumming, GA 30041-4004 | 2019-01-25 |
| 1316425879 | Tyler Christian Reinoso | Physical Therapy Assistant | 3480 Keith Bridge Rd Ste C2, Cumming, GA 30041-5570 | 2018-08-06 |
| 1093208258 | Kathy Lynn Honeycutt | Physical Therapy Assistant | 815 Atlanta Rd, Cumming, GA 30040-2707 | 2018-06-12 |
| 1982126538 | Kyle James Pierce | Physical Therapy Assistant | 2300 Bethelview Rd Ste 203, Cumming, GA 30040-9475 | 2017-07-14 |
| 1023461878 | Cody Lee Phillips | Physical Therapy Assistant | 2300 Bethelview Rd, Ste 2013, Cumming, GA 30040-9475 | 2016-07-18 |
| 1003293432 | Susan Colgan Zimmerman | Physical Therapy Assistant | 815 Atlanta Rd, Cumming, GA 30040-2707 | 2015-05-06 |
| Find all providers in CUMMING | ||||
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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.