Shane Sullivan, | |
10133 N 92nd St Ste 101, Scottsdale, AZ 85258-4556 | |
(480) 584-3334 | |
(480) 272-9369 |
Full Name | Shane Sullivan |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 10133 N 92nd St Ste 101, Scottsdale, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942371216 | NPI | - | NPPES |
290315 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6673 (Arizona) | Primary |
2251S0007X | Physical Therapist - Sports | 6673 (Arizona) | Secondary |
Provider Name | Spinescottsdale |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427283936 PECOS PAC ID: 2264570001 Enrollment ID: O20091116000117 |
Mailing Address | Practice Location Address |
---|---|
Shane Sullivan, 8776 E Shea Blvd, Suite 106-450, Scottsdale, AZ 85260-6629 Ph: (480) 584-3334 | Shane Sullivan, 10133 N 92nd St Ste 101, Scottsdale, AZ 85258-4556 Ph: (480) 584-3334 |
Candice Anne Hill, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1475 N Granite Reef Rd, Scottsdale, AZ 85257 Phone: 480-990-1904 | |
Dr. Jeffrey Scott Abernethy, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7301 E 2nd St Ste 90, Scottsdale, AZ 85251 Phone: 480-882-6829 | |
Lifesource Therapeutics Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7679 E Pinnacle Peak Rd, Suite100, Scottsdale, AZ 85255 Phone: 480-264-4599 Fax: 480-269-9201 | |
Jarad Coleman Brisbin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9219 E Hidden Spur Trl Ste 100, Scottsdale, AZ 85255 Phone: 602-648-5444 Fax: 602-772-3801 | |
Alexandria Cording, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3337 N Miller Rd Ste 103, Scottsdale, AZ 85251 Phone: 480-687-2438 | |
Margy Kathleen Owen, PT, MS Physical Therapist Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Bonnie Kurth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15953 N Greenway Hayden Loop, Scottsdale, AZ 85260 Phone: 480-998-4848 Fax: 480-222-0268 |