MARVIN RANDALL SULLIVAN (NPI# 1881700409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881700409 |
| Entity Type | Individual |
| Full Name | MARVIN RANDALL SULLIVAN |
| Credential | PT |
| Practice Address |
116 E Bloomingdale Ave Brandon FL 33511-8101 |
| Practice Telephone | 8136553342 |
| Practice Fax Number | 8136530894 |
| Mailing Telephone | 8136553342 |
| Mailing Fax Number | 8136530894 |
| Enumeration Date | 2006-08-23 |
| 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 | PT0009849 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | Y908V | 01 |
| Street Address |
116 E BLOOMINGDALE AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467977264 | James Russell Bard | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2017-08-14 |
| 1952699316 | Lindsey Mariebeth Rosal | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2011-07-19 |
| 1164677118 | Sandra Stern | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2008-11-18 |
| 1003084187 | Ronney Etienne | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2008-02-12 |
| 1205013364 | Laura Jeanne Denovi | Physical Therapy Assistant | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2008-01-30 |
| 1881871937 | Robert Gordon Robbins | Physical Therapy Assistant | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2008-01-30 |
| 1013031418 | Tracy A Hennemann | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2007-03-19 |
| 1881798353 | Sullivan Rehab Inc | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2006-09-12 |
| 1457454639 | Lorraine Frances Welling | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2006-09-06 |
| 1982707295 | Danielle Ann Strickland | Physical Therapist | 116 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| 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 |
|---|---|---|---|---|
| 1518584895 | Tamarian Strong | Physical Therapist | 22 Charleston Cir, Brandon, MS 39047-6141 | 2020-07-02 |
| 1770123572 | Shuying Lin | Physical Therapist | 1301 W Government St Ste 104, Brandon, MS 39042-3196 | 2020-01-09 |
| 1790242261 | Jessica Landry | Physical Therapist | 3012 E Aspen Blvd, Brandon, SD 57005-2202 | 2019-02-20 |
| 1992298392 | Robert Brandon Smith | Physical Therapist | 1320 Oakfield Dr, Brandon, FL 33511-4860 | 2018-06-11 |
| 1700300944 | Steven G Horlock | Physical Therapist | 1220 N Shore Pkwy Ste B, Brandon, MS 39047-6383 | 2017-07-31 |
| 1891216768 | Patricia Diane Cooper | Physical Therapist | 192 Oak Grove Dr, Brandon, MS 39047-6805 | 2017-06-30 |
| 1114459716 | Donald Ray Reynolds | Physical Therapist | 560 S Lakewood Dr, Brandon, FL 33511-5015 | 2017-04-01 |
| 1285080044 | Physical Therapy Plus LLC | Physical Therapist | 118 Cypress Ridge Dr, Brandon, MS 39047-7658 | 2016-05-11 |
| 1912351602 | Education Therapy Services, Inc | Physical Therapist | 606 Belle Oak Ln, Brandon, MS 39042-8101 | 2016-04-19 |
| 1164894887 | Jessica Estrada | Physical Therapist | 134 East Bloomingdale Ave, Brandon, FL 33511 | 2015-10-21 |
| Find all providers in BRANDON | ||||
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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.