DR. KATHERINE JOSEPHINE SULLIVAN PT
NPI 1285033878
Physical Therapist - Neurology in Rancho Mirage, CA

Q: What is Katherine Sullivan's NPI number?

The NPI number for Katherine Sullivan is 1285033878. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Q: What is Katherine Sullivan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Active since August 19, 2014

194 LOCH LOMOND RD, RANCHO MIRAGE, CA 92270(626) 674-0361 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Katherine Josephine Sullivan Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHERINE JOSEPHINE SULLIVAN PT (NPI 1285033878) is an individual neurology provider in Rancho Mirage, California, licensed in California (14280) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1285033878

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameDR. KATHERINE JOSEPHINE SULLIVANCredential: PT

Location Address194 LOCH LOMOND RDRancho Mirage, CA 92270

Mailing Address194 Loch Lomond RdRancho Mirage, CA 92270-5600 · (626) 674-0361

Phone(626) 674-0361

Sole ProprietorNo

Enumeration DateAugust 19, 2014

Last NPPES UpdateApril 22, 2019

✔ NPI 1285033878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in CA · 14280

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 14280 (CA)

194 LOCH LOMOND RD, Rancho Mirage, CA 92270

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Josephine Sullivan Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Katherine Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

360 Wellness Solutions, LLC

Same address

Case Manager/Care Coordinator

194 LOCH LOMOND RD
Rancho Mirage, CA 92270

Reassigned Medicare billing, California enrollment

NPI 1447773825 (760) 832-8025

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

360 WELLNESS SOLUTIONS PHYSICAL THERAPY AND REHABILITATION SERVICES

Clinic/Center

194 LOCH LOMOND RD
RANCHO MIRAGE, CA 92270

Riverside County (760) 832-8025

360 WELLNESS SOLUTIONS, LLC

Case Manager/Care Coordinator

194 LOCH LOMOND RD
RANCHO MIRAGE, CA 92270

Riverside County (760) 832-8025

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 Katherine Sullivan's NPI number?

The NPI number for Katherine Sullivan is 1285033878. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Katherine Sullivan located?

Katherine Sullivan practices at 194 Loch Lomond Rd, Rancho Mirage, CA 92270. The listed phone number is (626) 674-0361.

What is Katherine Sullivan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Katherine Sullivan enrolled in Medicare?

Yes. Katherine Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Sullivan reassigns Medicare benefits to 360 Wellness Solutions, LLC (Rancho Mirage, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Sullivan was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.