Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW SULLIVAN
Active Sole ProprietorMATTHEW SULLIVAN is a Physical Therapy Assistant healthcare provider located in SANTA FE, New Mexico. NPI 1619329703 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SANTA FE, NM
Registration Details
- NPI Number
- 1619329703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2016 (10.119861840793 yrs)
- Last Updated
- Apr 7, 2022
- Licenses
-
PTL.0014097 (CO)5279 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1935 WARNER AVESANTA FE, NM, 875055452Browse NM providers · Browse ZIP 87505
- Phone
- 5059066683
- Fax
- 5054210271
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| FRANK VERNON HATCH | PT | 1205836210 |
| BRUCE A MAZUR | PT DC | 1386645943 |
| ANGELICA WATSON | PT | 1821090820 |
| MICHAEL HOERNING | PT | 1396747069 |
| SARAH COHEN | PT | 1831183755 |
| PATRICIA BOTT | PT | 1821087677 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.