Timothy Joseph Sullivan in Manhattan Beach - Physical Therapist
Timothy Joseph Sullivan - NPI 1760496392
Timothy Joseph Sullivan is a Physical Therapist in Manhattan Beach, California. Timothy Joseph Sullivan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Timothy Joseph Sullivan is 1760496392. The last update date is 2013-12-18.
Timothy Joseph Sullivan's current location address is 604 N Sepulveda Blvd, Manhattan Beach, California. You can contact this provider via phone number 3103740477 and fax number 3103741605. The mailing address for Timothy Joseph Sullivan is 604 N Sepulveda Blvd, Manhattan Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Joseph Sullivan |
|---|---|
| Address | 604 N Sepulveda Blvd, Manhattan Beach, California |
| Phone Number | 3103740477 |
| Fax Number | 3103741605 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1760496392 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2013-12-18 |
Provider Mailing Address Detail
| Address | 604 N Sepulveda Blvd |
|---|---|
| City | Manhattan Beach |
| State | California (CA) |
| Post Code | 902665921 |
| Phone Number | 3103740477 |
| Fax Number | 3103741605 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT23153 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT23153 | CA | PHYSICAL THERAPY LICENSE |
Post Comment/ Review Below
What is the Timothy Joseph Sullivan's unique identification number?
The Timothy Joseph Sullivan has been assigned the NPI (National Provider Identifier) Number 1760496392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Timothy Joseph Sullivan is physically located?
The Timothy Joseph Sullivan is physically situated at the following address: 604 N Sepulveda Blvd, Manhattan Beach, CA, 902665921.
What is Timothy Joseph Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Joseph Sullivan is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760496392 to Timothy Joseph Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1760496392 to Timothy Joseph Sullivan on 2006-07-28.
When was the Timothy Joseph Sullivan's information last updated?
The Timothy Joseph Sullivan's information was last updated on 2013-12-18.