PAUL G SULLIVAN (NPI# 1154428803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154428803 |
| Entity Type | Individual |
| Full Name | PAUL G SULLIVAN |
| Credential | PT |
| Practice Address |
1938 E Lincoln Hwy Suite 111 New Lenox IL 60451-3810 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 8154852916 |
| Practice Fax Number | 8154852918 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2018-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070010530 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER # | 1623066 | 01 |
| IL | R.R. MEDICARE GRP# | CJ4383 | 01 |
| IL | R.R. MEDICARE GRP# | CJ8115 | 01 |
| IL | BCBS IL GROUP NUMBER | 1619908 | 01 |
| IL | US DEPT OF LABOR | 367885100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1427289347 | Paul Michael Sullivan | Counselor | 5397 Howard Rd, Petoskey, MI 49770-8815 | 2009-07-28 |
| 1013042613 | Paul Joseph Sullivan | Physical Therapist | 14 Gawaine Rd, North Easton, MA 02356-2642 | 2007-02-22 |
| 1730247032 | Paul Damian Sullivan | Psychiatry & Neurology | 11117 Waycroft Way, Rockville, MD 20852-3216 | 2006-12-05 |
| 1386721504 | Paul Michael Sullivan | Internal Medicine | 44060 Woodward, Bloomfield Hills, MI 48302 | 2006-11-01 |
| 1184728875 | Paul J. Sullivan | Physician Assistant | 36000 Darnall Loop, Room 1272, Carl R. Darnall Army Medical Center, Ft Hood, TX 76544 | 2006-09-12 |
| 1417953647 | Paul Edward Sullivan | Podiatrist | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2005-06-22 |
| 1548822885 | Paul Francis Sullivan | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2019-07-08 |
| 1891278669 | Paul Joseph Sullivan | Psychologist | 525 E 68th St Fl 11, New York, NY 10065-4870 | 2018-09-07 |
| Street Address |
1938 E LINCOLN HWY SUITE 111 |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071970 | Mary D Degroot | Podiatrist | 1938 E Lincoln Hwy, Suite 206, New Lenox, IL 60451-3810 | 2005-08-23 |
| 1982114922 | Kyle Lee Lisowski | Counselor | 1938 E Lincoln Hwy, New Lenox, IL 60451-3810 | 2017-10-04 |
| 1154786531 | Shehab Awadallah | Chiropractor | 1938 E Lincoln Hwy, Suite 204, New Lenox, IL 60451-3810 | 2015-12-29 |
| 1750754453 | Jillian B Walker | Physical Therapist | 1938 E Lincoln Hwy, Suite 111, New Lenox, IL 60451-3810 | 2015-11-04 |
| 1952774713 | Annette Krason | Counselor | 1938 E Lincoln Hwy, Suite 219, New Lenox, IL 60451-3810 | 2015-11-02 |
| 1871970970 | Chicagoland Foot and Ankle, PC | Podiatrist | 1938 E Lincoln Hwy, Ste 206, New Lenox, IL 60451-3810 | 2015-04-28 |
| 1538557293 | Carly Olczak | Social Worker | 1938 E Lincoln Hwy, Suite 203, New Lenox, IL 60451-3810 | 2015-01-05 |
| 1629480181 | Brittany Minniear | Physical Therapist | 1938 E Lincoln Hwy, Suite 111, New Lenox, IL 60451-3810 | 2014-06-02 |
| 1578991386 | Choice Clinical Services Inc. | Social Worker | 1938 E Lincoln Hwy, Suite 294, New Lenox, IL 60451-3810 | 2013-10-15 |
| 1255675427 | Michael Waters | Physical Therapist | 1938 E Lincoln Hwy, Suite 111, New Lenox, IL 60451-3810 | 2012-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| 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 |
|---|---|---|---|---|
| 1861026718 | Shaping The Path LLC | Physical Therapist | 651 Sojourn Rd, New Lenox, IL 60451-2396 | 2020-03-01 |
| 1780244046 | Sabbin S Chammachel | Physical Therapist | 1938 E Lincoln Hwy Ste 111, New Lenox, IL 60451-3929 | 2019-06-19 |
| 1316505142 | Edmar Ramirez | Physical Therapist | 15782 Mueller Way, New Lenox, IL 60451-5424 | 2019-06-05 |
| 1609161116 | David Harezlak | Physical Therapist | 751 E Lincoln Hwy Ste C, New Lenox, IL 60451-1984 | 2011-06-13 |
| 1801187919 | Aimee A Kameron | Physical Therapist | 508 W Joliet Hwy, New Lenox, IL 60451-3902 | 2011-04-22 |
| 1023250826 | Randolph Sports Physical Therapy, Inc. | Physical Therapist | 1321 Prairie Estate Dr, New Lenox, IL 60451-2837 | 2009-03-26 |
| 1275702466 | Nancy M Eichwald | Physical Therapist | 1810 Harvard Ln, New Lenox, IL 60451-3803 | 2008-02-21 |
| 1265629307 | Kristin M Swidergal | Physical Therapist | 806 Laraway Rd, 808, New Lenox, IL 60451-2694 | 2007-10-03 |
| 1306052063 | Athletico Ltd | Physical Therapist | 1938 E Lincoln Highway Ste 111, Atrium Point, New Lenox, IL 60451 | 2007-05-16 |
| 1407982069 | Bernadette A Swiatkowski | Physical Therapist | 1076 Patriot Dr, New Lenox, IL 60451-3173 | 2007-02-26 |
| Find all providers in NEW LENOX | ||||
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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.