Ms Jessica Lynn Sullivan, PT, DPT is a
Physical Therapist based in Greenwood Lake, New York. Ms Jessica Lynn Sullivan is licensed to practice in New York (license number 022489) and her current practice location is
7 Locust Dr, Greenwood Lake, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 477-2301.
NPI number for Ms Jessica Lynn Sullivan is 1063664134 and her current mailing address is 7 Locust Dr, Greenwood Lake, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063664134.
Healthcare Provider's Profile
Full Name | Ms Jessica Lynn Sullivan |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 7 Locust Dr, Greenwood Lake, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063664134
- Provider Enumeration Date: 10/21/2008
- Last Update Date: 10/21/2008
Medical Identifiers
Medical identifiers for Ms Jessica Lynn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063664134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 022489 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jessica Lynn Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jessica Lynn Sullivan, PT, DPT 7 Locust Dr, Greenwood Lake, NY 10925-2728 Ph: (845) 477-2301 | Ms Jessica Lynn Sullivan, PT, DPT 7 Locust Dr, Greenwood Lake, NY 10925-2728 Ph: (845) 477-2301 |
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