Shane Sullivan (NPI# 1942371216, PAC ID# 0143271072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1942371216 |
| PAC ID by PECOS | 0143271072 |
| Professional Enrollment ID | I20050208000462 |
| Full Name | Shane Sullivan |
| Address |
10277 N 92nd St Suite 103 Scottsdale AZ 85258-4564 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10277 N 92nd St, Suite 103, Scottsdale, AZ 85258-4564 |
| Street Address |
10277 N 92ND ST SUITE 103 |
| City | SCOTTSDALE |
| State | AZ |
| Zip | 85258-4564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline L Stockton | Nurse Practitioner | Scottsdale Healthcare Corp | 10277 N 92nd St, Suite 101, Scottsdale, AZ 85258-4564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constantine G Moschonas | Neurology | Sensory Testing Systems, LLC | 8655 E Via Deventura St, Suite E160, Scottsdale, AZ 85258 |
| Peter A Raudzens | Anesthesiology | Sensory Testing Systems, LLC | 8655 E Via Deventura St, Suite E160, Scottsdale, AZ 85258 |
| Fern M Arlen | Neurology | Sensory Testing Systems, LLC | 8655 E Via Deventura St, Suite E160, Scottsdale, AZ 85258 |
| Catherine M Dubiel | Internal Medicine | 8040 E Morgan Trl, Suite 13, Scottsdale, AZ 85258-1211 | |
| Theresa A Gates | Psychologist, Clinical | 8075 E Morgan Trl, Suite 1b, Scottsdale, AZ 85258-1213 | |
| Karen A Thomas | Occupational Therapy | Contact Physical Therapy Scottsdale | 10304 N Hayden Rd, Suite 115, Scottsdale, AZ 85258-1218 |
| Randy J Gootzeit | Occupational Therapy | Contact Physical Therapy Scottsdale | 10304 N Hayden Rd, Suite 115, Scottsdale, AZ 85258-1218 |
| Tyler T Carlson | Physical Therapy | Contact Physical Therapy Scottsdale | 10304 N Hayden Rd, Suite 120, Scottsdale, AZ 85258-1218 |
| Jeanann Schwark | Nurse Practitioner | 8070 E Morgan Trl, Suite 120, Scottsdale, AZ 85258-1228 | |
| Nancy J Roepke | Clinical Psychologist | 10304 N Hayden Rd, Suite 135, Scottsdale, AZ 85258-1231 | |
| Find all physicians in zip 85258 | |||
| City | SCOTTSDALE |
| Zip Code | 85258 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SCOTTSDALE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Shane Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.