KEITH EDWARD SULLIVAN DPT
NPI 1164823738
Physical Therapist - Orthopedic in San Bruno, CA
About Keith Edward Sullivan Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH EDWARD SULLIVAN DPT (NPI 1164823738) is an individual orthopedic provider in San Bruno, California, licensed in California (37244) and active in the NPI registry since September 2014. He is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keith Edward Sullivan Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BRUNO, CA 94066
SAN BRUNO, CA 94066
SAN BRUNO, CA 94066
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keith Sullivan's NPI number?
The NPI number for Keith Sullivan is 1164823738. It was assigned to this individual provider in the NPPES registry on September 15, 2014.
Where is Keith Sullivan located?
Keith Sullivan practices at 1001 Sneath Ln, San Bruno, CA 94066. The listed phone number is (650) 871-8645.
What is Keith Sullivan's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Keith Sullivan enrolled in Medicare?
Yes. Keith Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Keith Sullivan was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.