LAUREN K SULLIVAN (NPI# 1104485689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104485689 |
| Entity Type | Individual |
| Full Name | LAUREN K SULLIVAN |
| Credential | DPT |
| Practice Address |
3726 S Kingshighway Blvd Saint Louis MO 63109-1800 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 3143515150 |
| Practice Fax Number | 3143516885 |
| Mailing Telephone | 6305756250 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2020034322 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 070024396 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1509 S Michigan Ave, Chicago, IL 606052802 | 3124310434 | 3124310511 |
| 107 Concord Plaza Shopping Ctr, Saint Louis, MO 631281307 | 3148422990 | 3148425162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073078580 | Lauren M Sullivan | Chiropractor | 305 S Kipling St Ste C2, Lakewood, CO 80226-2700 | 2019-02-08 |
| 1083960843 | Lauren T Sullivan | Nurse Practitioner | 2995 N River Birch Dr, Unit H, Brookfield, WI 53045-3493 | 2012-07-31 |
| 1093966533 | Lauren Marie Sullivan | Nurse Practitioner | 410 Route 34 S, Suite 212, Colts Neck, NJ 07722-2518 | 2008-10-02 |
| 1629144233 | Lauren Policastro Sullivan | Counselor | 316 Eisenhower Pkwy, Suite 202, Livingston, NJ 07039-1718 | 2006-11-27 |
| 1528675543 | Lauren Sullivan | Physical Therapist | 291 Carl Broggi Hwy, Lebanon, ME 04027-3405 | 2020-09-24 |
| 1538787965 | Lauren Ashley Sullivan | Behavior Technician | 8001 Beaty Grove Dr, Tampa, FL 33626-1602 | 2020-07-13 |
| 1902457070 | Lauren Sullivan | Occupational Therapy Assistant | 222 S 25th St Apt 435, Terre Haute, IN 47803-1866 | 2019-09-20 |
| 1720637408 | Lauren Michelle Sullivan | Social Worker | 173 Chelsea St, Everett, MA 02149-4632 | 2019-09-05 |
| 1043866056 | Lauren Sullivan | Pharmacist | 1035 Cambridge St, Cambridge, MA 02141-1057 | 2019-08-15 |
| 1104311976 | Lauren Roddy Sullivan | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2018-06-25 |
| Street Address |
3726 S KINGSHIGHWAY BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778183 | Prorehab, PC | Clinic/Center | 3726 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2006-05-18 |
| 1356988836 | Senad Sabanagic | Physical Therapist | 3726 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| 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 |
|---|---|---|---|---|
| 1700484383 | Ryan Luis Adkins | Physical Therapist | 4444 Forest Park Ave Unit 1210, Saint Louis, MO 63108-2212 | 2020-10-15 |
| 1548867583 | Ryan Joseph Terstriep | Physical Therapist | 12639 Old Tesson Rd Ste 120, Saint Louis, MO 63128-2786 | 2020-10-02 |
| 1588261754 | Laurie Susan Altobella | Physical Therapist | 9082 Fernald Dr, Saint Louis, MO 63123-2005 | 2020-10-01 |
| 1720694607 | Rebecca Won | Physical Therapist | 2705 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3372 | 2020-09-16 |
| 1417562133 | Joseph Edward Zacher | Physical Therapist | 6027 Eitman Ave, Saint Louis, MO 63139-2810 | 2020-09-10 |
| 1114538097 | Prorehab PC | Physical Therapist | 3156 Telegraph Rd, Saint Louis, MO 63125-5500 | 2020-08-13 |
| 1710597547 | Alexander C Butler | Physical Therapist | 9560 Watson Rd Ste D, Saint Louis, MO 63126-1541 | 2020-08-06 |
| 1215560834 | Jerline Tuggle | Physical Therapist | 1310 Papin St Ste 109, Saint Louis, MO 63103-3132 | 2020-02-21 |
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1023661915 | Connor Pratt | Physical Therapist | 635 Locust St Unit 116, Saint Louis, MO 63101-1700 | 2019-07-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.