| Brooke Francis Sullivan, | |
|
6905 Knightdale Blvd Ste 102, Knightdale, NC 27545-6506 | |
| (919) 373-8086 | |
| Not Available |
| Full Name | Brooke Francis Sullivan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6905 Knightdale Blvd Ste 102, Knightdale, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235878984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P21470 (North Carolina) | Primary |
| Provider Name | Activcare Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Francis Sullivan, 3557 Ramsay St Apt 2a, High Point, NC 27265-9024 Ph: (713) 569-1677 | Brooke Francis Sullivan, 6905 Knightdale Blvd Ste 102, Knightdale, NC 27545-6506 Ph: (919) 373-8086 |
Kamaran Annette Malone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 Mcknight Dr Ste 103, Knightdale, NC 27545 Phone: 919-745-8884 Fax: 919-647-4463 | |
Stephen Harris, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4005 Village Park Dr, Knightdale, NC 27545 Phone: 919-217-0113 Fax: 919-217-0059 | |
Yash Yogeshbhai Ukani, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6905 Knightdale Blvd Ste 102, Knightdale, NC 27545 Phone: 919-373-8086 | |
Dr. Adam Schessel, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 Heartland Flyer Dr, Knightdale, NC 27545 Phone: 919-368-0266 | |
Elizabeth Wallace, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1004 Oakgrove Dr, Knightdale, NC 27545 Phone: 919-880-0718 | |
Joshua Robert King, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 502 Mcknight Dr Ste 103, Knightdale, NC 27545 Phone: 919-217-8885 Fax: 919-217-8820 | |
Ashleigh Lyn Bair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6905 Knightdale Blvd Ste 102, Knightdale, NC 27545 Phone: 919-373-8086 Fax: 919-373-8087 |