| Grant Sullivan, | |
|
13 Cedarcone Ct, Nottingham, MD 21236-1675 | |
| (301) 706-0612 | |
| Not Available |
| Full Name | Grant Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 13 Cedarcone Ct, Nottingham, Maryland |
| 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 |
|---|---|---|---|
| 1851758106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 25301 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Health Physical Therapy At Home Llc | 7012379134 | 12 |
| Maryland Luna Care Physical Therapy Llc | 4284017419 | 97 |
| Provider Name | Glen Burnie Physical Therapy & Sportscare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679630073 PECOS PAC ID: 0042102592 Enrollment ID: O20040329000584 |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349 |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321 |
| Provider Name | Maryland Sportscare & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20151113000065 |
| Provider Name | Lhmg Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396122842 PECOS PAC ID: 3870893738 Enrollment ID: O20151201000903 |
| Provider Name | Medstar Health Physical Therapy At Home Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891472684 PECOS PAC ID: 7012379134 Enrollment ID: O20230821003710 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Sullivan, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Grant Sullivan, 13 Cedarcone Ct, Nottingham, MD 21236-1675 Ph: (301) 706-0612 |
Nathan Dixon Mcclain, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd Ste 130a, Nottingham, MD 21236 Phone: 443-442-2800 | |
Beverly G. Flores, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4155 Glen Park Rd, Nottingham, MD 21236 Phone: 410-529-0348 | |
Jasmin Eusebio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4940 Campbell Blvd, Nottingham, MD 21236 Phone: 352-732-5590 | |
Erika Sachiko Takahashi, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8019 Corporate Dr, Unit A, Nottingham, MD 21236 Phone: 410-933-7628 | |
Leonilo Fajardo Pallasigui, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4223 Chapel Rd Apt 201, Nottingham, MD 21236 Phone: 443-301-3422 | |
Dr. Hannah Marie Vaca, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, Nottingham, MD 21236 Phone: 410-955-5000 | |
Nicole Christine Sandruck, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7629 Belair Rd, Nottingham, MD 21236 Phone: 410-870-2104 |