Katie E Sullivan (NPI# 1740732080, PAC ID# 3173804382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1740732080 |
| PAC ID by PECOS | 3173804382 |
| Professional Enrollment ID | I20161230001281 |
| Full Name | Katie E Sullivan |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY, LLC |
| Address |
2106 Executive Dr Hampton VA 23666-2402 |
| Phone Number | 7578386678 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406759281 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2106 Executive Dr, Hampton, VA 23666-2402 | 7578386678 | TIDEWATER PHYSICAL THERAPY, LLC |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Z Wisniewski | Physical Therapy | Tidewater Physical Therapy, LLC | 12494 Warwick Blvd, Newport News, VA 23606-3000 |
| Elizabeth C Berman | Physical Therapy | Tidewater Physical Therapy, LLC | 12494 Warwick Blvd, Newport News, VA 23606-3000 |
| Cynthia J Hartman | Physical Therapy | Tidewater Physical Therapy, LLC | 12494 Warwick Blvd, Newport News, VA 23606-3000 |
| Samantha E Davis | Physical Therapy | Tidewater Physical Therapy, LLC | 12494 Warwick Blvd, Newport News, VA 23606-3000 |
| Brandi Lynn Working | Physical Therapy | Tidewater Physical Therapy, LLC | 12494 Warwick Blvd, Newport News, VA 23606-3000 |
| Courtney S Ranson | Physical Therapy | Tidewater Physical Therapy, LLC | 12494 Warwick Blvd, Newport News, VA 23606-3000 |
| Julie E Hull | Physical Therapy | Tidewater Physical Therapy, LLC | 12494 Warwick Blvd, Newport News, VA 23606-3000 |
| Alireza Abedi | Physical Therapy | Tidewater Physical Therapy, LLC | 227 Wadsworth Dr, Richmond, VA 23236-4510 |
| Hillary M Lindsay | Physical Therapy | Tidewater Physical Therapy, LLC | 6049 Harbour Park Dr, Midlothian, VA 23112-2160 |
| Richard T Sieller | Physical Therapy | Tidewater Physical Therapy, LLC | 6970 Fox Hunt Ln, Gloucester, VA 23061-5394 |
| Street Address |
2106 EXECUTIVE DR |
| City | HAMPTON |
| State | VA |
| Zip | 23666-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Scalici | Physical Therapy | Tidewater Physical Therapy LLC | 2106 Executive Dr, Hampton, VA 23666-2402 |
| Jessica S Morris | Physical Therapy | Tidewater Physical Therapy LLC | 2106 Executive Dr, Hampton, VA 23666-2402 |
| Jacob Henderson | Physical Therapy | Tidewater Physical Therapy LLC | 2106 Executive Dr, Hampton, VA 23666-2402 |
| Molly A Slusser | Physical Therapy | Tidewater Physical Therapy LLC | 2106 Executive Dr, Hampton, VA 23666-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry L Rothfuss | Internal Medicine | 303 Butler Farm Rd, Suite 103, Hampton, VA 23666-1568 | |
| Tiffany N Jefferson | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Melody Blanco | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Charlena Cuffee | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| John D Ogram | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Lisa M Kelleher | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Peter Smith | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Saphia Beckles | Nurse Practitioner | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Brenda J Williams | Clinical Social Worker | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Ashraful Huq | Psychiatry | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Find all physicians in zip 23666 | |||
| City | HAMPTON |
| Zip Code | 23666 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HAMPTON + PHYSICAL THERAPY |
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| 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.