JENNIFER SULLIVAN (NPI# 1942750484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942750484 |
| Entity Type | Individual |
| Full Name | JENNIFER SULLIVAN |
| Credential | PTA |
| Practice Address |
518 Phillips Rd # A Levant ME 04456-4446 |
| Practice Telephone | 2072406170 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PA4718 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | MT3547 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907232 | Jennifer Sullivan | Massage Therapist | 82884 N Pacific Hwy, Creswell, OR 97426-9407 | 2020-09-21 |
| 1033778360 | Jennifer Sullivan | Registered Nurse | 3703 Stearns Hill Rd, Waltham, MA 02451-7134 | 2019-06-11 |
| 1558820290 | Jennifer Sullivan | Specialist/Technologist | 6799 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-03-12 |
| 1043780364 | Jennifer P Sullivan | Lactation Consultant, Non-RN | 33 Arlington Ave Ste 4, Poughkeepsie, NY 12603-1603 | 2018-11-29 |
| 1770953051 | Jennifer Sullivan | Occupational Therapy Assistant | 3815 W Mason Rd, Deer Park, WA 99006-9511 | 2015-09-30 |
| 1720470552 | Jennifer M Sullivan | Specialist | 88 Slocum Ave, Tappan, NY 10983-2610 | 2015-03-03 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1164778635 | Jennifer Sullivan | Early Intervention Provider Agency | 51 Churchill Ln, Smithtown, NY 11787-4039 | 2012-08-02 |
| 1881956472 | Jennifer Sullivan | Specialist | 4663 189th St, Flushing, NY 11358-3834 | 2012-06-11 |
| 1316279409 | Jennifer Sullivan | Occupational Therapist | 45 S Crescent Circuit, Brighton, MA 02135-3045 | 2010-02-01 |
| Street Address |
518 PHILLIPS RD # A |
| City | LEVANT |
| State | ME |
| Zip Code | 04456-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396229852 | Abby Logan Stevens | Occupational Therapist | 169 S. Levant Rd., Levant, ME 04456 | 2018-09-20 |
| 1174034318 | Town of Levant | Ambulance | 3917 Union St., Levant, ME 04456 | 2017-10-16 |
| 1295965200 | Lorna Kuzina | In Home Supportive Care | 68 Victoria Lane, Levant, ME 04456 | 2009-07-24 |
| 1508079039 | Susan Lee Harriman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 371 Stetson Road West, Levant, ME 04456 | 2007-05-08 |
| 1457747214 | Samantha Munson | Student in an Organized Health Care Education/Training Program | 245 Avenue Rd, Levant, ME 04456-4003 | 2015-04-08 |
| 1679703789 | Corinne Ness | In Home Supportive Care | 21 Forest Hills Dr, Levant, ME 04456-4147 | 2009-07-23 |
| 1528381456 | Laura Gogan | Registered Nurse | 78 Pember Rd, Levant, ME 04456-4319 | 2010-03-06 |
| 1265838163 | Samantha L Pike | Counselor | 125 Robichaud Rd, Levant, ME 04456-4349 | 2014-11-05 |
| 1720539521 | Barbara Gawrych | Dental Hygienist | 27 Lower Ln, Levant, ME 04456-4384 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396229852 | Abby Logan Stevens | Occupational Therapist | 169 S. Levant Rd., Levant, ME 04456 | 2018-09-20 |
| 1174034318 | Town of Levant | Ambulance | 3917 Union St., Levant, ME 04456 | 2017-10-16 |
| 1720539521 | Barbara Gawrych | Dental Hygienist | 27 Lower Ln, Levant, ME 04456-4384 | 2016-10-18 |
| 1457747214 | Samantha Munson | Student in an Organized Health Care Education/Training Program | 245 Avenue Rd, Levant, ME 04456-4003 | 2015-04-08 |
| 1265838163 | Samantha L Pike | Counselor | 125 Robichaud Rd, Levant, ME 04456-4349 | 2014-11-05 |
| 1528381456 | Laura Gogan | Registered Nurse | 78 Pember Rd, Levant, ME 04456-4319 | 2010-03-06 |
| 1295965200 | Lorna Kuzina | In Home Supportive Care | 68 Victoria Lane, Levant, ME 04456 | 2009-07-24 |
| 1679703789 | Corinne Ness | In Home Supportive Care | 21 Forest Hills Dr, Levant, ME 04456-4147 | 2009-07-23 |
| 1508079039 | Susan Lee Harriman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 371 Stetson Road West, Levant, ME 04456 | 2007-05-08 |
| 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 |
|---|---|---|---|---|
| 1164039772 | Russell P Graham | Physical Therapy Assistant | 1500 North Road, North Yarmouth, ME 04097 | 2020-09-28 |
| 1992319396 | Carl Edward Jakowenko | Physical Therapy Assistant | 378 Gorham Rd, Scarborough, ME 04074-9640 | 2020-09-02 |
| 1225690084 | Barry James Heath | Physical Therapy Assistant | 91 Camden St Ste 107, Rockland, ME 04841-2458 | 2019-07-02 |
| 1679134001 | Arielle Oosten | Physical Therapy Assistant | 22 Bramhall St Rm 4602, Portland, ME 04102-3175 | 2019-06-26 |
| 1083176853 | Jessica Tucker | Physical Therapy Assistant | 20 Dyer Brook Rd, Oakfield, ME 04763 | 2019-04-02 |
| 1609353721 | Caitlin Johnston | Physical Therapy Assistant | 549 Reach Rd, Deer Isle, ME 04627-3342 | 2018-07-21 |
| 1326555319 | Satu Donahoe | Physical Therapy Assistant | 85 Harrison Heights Rd, Harrison, ME 04040 | 2017-12-29 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1538699988 | Megan Elizabeth Gilbert | Physical Therapy Assistant | 88 Harbor Dr, Saco, ME 04072-2148 | 2017-06-19 |
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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.