Jessica Sullivan, PT is a
Physical Therapist based in Beaverton, Michigan. Jessica Sullivan is licensed to practice in NU (license number ) and her current practice location is
106 Tonkin St, Beaverton, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 435-3315.
NPI number for Jessica Sullivan is 1245731280 and her current mailing address is 106 Tonkin St, Beaverton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245731280.
Healthcare Provider's Profile
| Full Name | Jessica Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
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| Location | 106 Tonkin St, Beaverton, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245731280
- Provider Enumeration Date: 02/26/2018
- Last Update Date: 02/26/2018
Medical Identifiers
Medical identifiers for Jessica Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245731280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jessica Sullivan, PT 106 Tonkin St, Beaverton, MI 48612-8116 Ph: Not Available | Jessica Sullivan, PT 106 Tonkin St, Beaverton, MI 48612-8116 Ph: (989) 435-3315 |
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