Paul Sullivan, PT, DPT | |
34 Manchester Ave, Forked River, NJ 08731-1366 | |
(609) 693-9345 | |
(609) 693-9347 |
Full Name | Paul Sullivan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 34 Manchester Ave, Forked River, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245695402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01649500 (New Jersey) | Primary |
Provider Name | Rothman Orthopaedics Of New Jersey, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215978630 PECOS PAC ID: 6709864846 Enrollment ID: O20040713001385 |
Provider Name | Rehabclinics Spt Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699113688 PECOS PAC ID: 7113834102 Enrollment ID: O20130828000263 |
Mailing Address | Practice Location Address |
---|---|
Paul Sullivan, PT, DPT 833 Chestnut St, Ste 1402, Philadelphia, PA 19107-4404 Ph: (800) 321-9999 | Paul Sullivan, PT, DPT 34 Manchester Ave, Forked River, NJ 08731-1366 Ph: (609) 693-9345 |
Sara Gregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 731 Lacey Rd, Forked River, NJ 08731 Phone: 609-242-6780 Fax: 609-242-6783 | |
Joseph Nevoso, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 731 Lacey Rd Unit A, Forked River, NJ 08731 Phone: 609-756-5800 | |
Michael Christopher Vile, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 34 Manchester Ave, Suite 104, Forked River, NJ 08731 Phone: 609-693-9345 Fax: 609-693-9347 | |
Jeremy Norman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 Lacey Rd, Forked River, NJ 08731 Phone: 609-242-6780 Fax: 609-242-6783 | |
Katelyn Elizabeth Antoniewicz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 731 Lacey Rd Ste 3, Forked River, NJ 08731 Phone: 609-242-6780 Fax: 609-242-6783 | |
Mark F Schwall, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 640 Lacey Rd, Forked River, NJ 08731 Phone: 609-756-5800 Fax: 888-974-0986 |