MARK NICHOLAS SULLIVAN (NPI# 1679653455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679653455 |
| Entity Type | Individual |
| Full Name | MARK NICHOLAS SULLIVAN |
| Credential | PT |
| Practice Address |
400 Water Ave St Josephs Rehab Department Hillsboro WI 54634 |
| Mailing Address |
575 Pine Ave Hillsboro WI 54634 |
| Practice Telephone | 6084898260 |
| Practice Fax Number | 6084898193 |
| Mailing Telephone | 6084892733 |
| Mailing Fax Number | 6084898193 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5549024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40475300 | 05 | |
| WI | DPI | 5415000450861 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730863 | Mark Allan Sullivan | Chiropractor | 4196 Avery Rd, Hilliard, OH 43026-1004 | 2006-12-29 |
| 1356456297 | Mark Tighe Sullivan | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-08-20 |
| 1306874227 | Mark Allen Sullivan | Physical Therapist | 133 Mountain Rd, Suite 2b., Suffield, CT 06078-2084 | 2006-06-29 |
| 1497722615 | Mark F Sullivan Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11236 Robinwood Dr, # 7, Hagerstown, MD 21742-6708 | 2006-03-07 |
| 1710983432 | Mark P. Sullivan | Dentist | 1440 South Pottstown Pike, West Chester, PA 19380-1271 | 2005-06-27 |
| 1134752371 | Mark Sullivan | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2020-02-17 |
| 1295260347 | Mark Sullivan | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-04-26 |
| 1841724754 | Mark Sullivan | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2017-04-18 |
| 1386098762 | Mark Sullivan | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2016-04-21 |
| 1346614641 | Mark Sullivan | Social Worker | 5225 Connecticut Ave Nw, #616, Washington, DC 20015-1813 | 2015-11-24 |
| Street Address |
400 WATER AVE ST JOSEPHS REHAB DEPARTMENT |
| City | HILLSBORO |
| State | WI |
| Zip Code | 54634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591410 | St. Joseph's Health Services, Inc. | Clinic/Center | 400 Water Ave, Hillsboro, WI 54634-9054 | 2005-10-10 |
| 1295355741 | Thomas James Moodie | Occupational Therapist | 400 Water Ave, Hillsboro, WI 54634-9054 | 2020-04-24 |
| 1164072526 | Alyssa Robbin Sherwood | Social Worker | 400 Water Ave, Hillsboro, WI 54634-9054 | 2019-09-18 |
| 1710531421 | Rebecca Ann Walker | Massage Therapist | 400 Water Ave, Hillsboro, WI 54634-9054 | 2019-07-31 |
| 1699331520 | Kody Urban Vaassen | Physical Therapist | 400 Water Ave, Hillsboro, WI 54634-9054 | 2019-05-16 |
| 1366987034 | Jessica Ann Thompson | Nurse Practitioner | 400 Water Ave, Hillsboro, WI 54634-9054 | 2017-01-04 |
| 1548614928 | Michelle Gardner | Nurse Practitioner | 400 Water Ave, Hillsboro, WI 54634-9054 | 2016-04-21 |
| 1043678725 | Kristin Wolfe | Dietitian, Registered | 400 Water Ave, Hillsboro, WI 54634-9054 | 2016-02-09 |
| 1336548163 | Christina M Brooks | Social Worker | 400 Water Ave, Hillsboro, WI 54634-9054 | 2014-08-18 |
| 1194164061 | Samantha R. Erie | Physician Assistant | 400 Water Ave, Hillsboro, WI 54634-9054 | 2013-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356557904 | Hillsboro Area Ambulance Service | Ambulance | 429 Water Ave, Hillsboro, WI 54634 | 2007-05-14 |
| 1306051990 | St. Joseph's Health Services, Inc. | Medicare Defined Swing Bed Unit | 400 Water Ave., Hillsboro, WI 54634 | 2007-05-14 |
| 1306968458 | J R Wolfenden Dds Sc | Dentist | 925 Water Ave, Hillsboro, WI 54634 | 2007-04-06 |
| 1275685984 | Peter James Wyland | Chiropractor | 652 Water Ave., Hillsboro, WI 54634 | 2007-01-16 |
| 1295849784 | St. Joseph's Community Health Services, Inc | Skilled Nursing Facility | 400 Water Avenue, Hillsboro, WI 54634 | 2006-08-19 |
| 1962744862 | Jay Richard Wolfenden | Dentist | 925 Water Ave, Hillsboro, WI 54634 | 2013-03-19 |
| 1548570393 | Tamur Jehan Mueenuddin | General Practice | 400 Water Avenue, Hillsboro, WI 54634 | 2010-10-14 |
| 1821183393 | Wayne E. Myhre | Dentist | 300 Water Avenue, Hillsboro, WI 54634-0425 | 2006-10-03 |
| 1366615940 | School District of Hillsboro | Local Education Agency (LEA) | 777 School Road, Hillsboro, WI 54634-0526 | 2008-04-04 |
| 1255872743 | Brandon William Stanek | Specialist/Technologist | E18771 Shady Ln, Hillsboro, WI 54634-3081 | 2017-03-16 |
| Find all providers in zip 54634 | ||||
| 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 |
|---|---|---|---|---|
| 1235738972 | Tyler Chad Anderson | Physical Therapist | 701 3rd Ave Ne, Hillsboro, ND 58045-4618 | 2020-10-23 |
| 1790395119 | Sparrow Communication Services, LLC | Physical Therapist | 967 Ne Orenco Station Loop Apt 550, Hillsboro, OR 97124-7495 | 2020-08-01 |
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1861045213 | Colleen Wesel Physical Therapy LLC | Physical Therapist | 3000 Ne Stucki Ave Ste 230p, Hillsboro, OR 97124-7107 | 2019-07-24 |
| 1740848613 | Jose Sanchez | Physical Therapist | 2011 Ne 10th Ave, Hillsboro, OR 97124-1709 | 2019-06-04 |
| 1134691504 | Matthew Douglas Peacock | Physical Therapist | 104 Interstate Highway 35 Ne, Suite 181, Hillsboro, TX 76645 | 2018-12-26 |
| 1750868717 | Nicholas Jeremy Mason | Physical Therapist | 2500 Ne Century Blvd Ste 200, Hillsboro, OR 97124-7516 | 2018-07-23 |
| 1104339241 | Denise Lyn Martin | Physical Therapist | 10679 Business 21, Hillsboro, MO 63050-5094 | 2017-11-12 |
| 1467990978 | Michaela Bailey | Physical Therapist | 1566 Se Pelton Ct, Hillsboro, OR 97123-2930 | 2017-02-03 |
| 1093263170 | Trinh Viet Le | Physical Therapist | 3289 Ne 3rd Ave, Hillsboro, OR 97124-1588 | 2016-09-16 |
| Find all providers in HILLSBORO | ||||
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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.