RAVEN DOMINIQUE BEDONIA SULLIVAN PT, DPT
NPI 1619869666
Physical Medicine & Rehabilitation in Bronx, NY

Active since July 16, 2025
2121 PAULDING AVE APT 4B, BRONX, NY 10462(347) 394-6182 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Dominique Bedonia Sullivan Pt, Dpt NPPES

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

RAVEN DOMINIQUE BEDONIA SULLIVAN PT, DPT (NPI 1619869666) is an individual physical medicine & rehabilitation provider in Bronx, New York, licensed in New York (040339-01) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1619869666
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameRAVEN DOMINIQUE BEDONIA SULLIVANCredential: PT, DPT
Location Address2121 PAULDING AVE APT 4BBronx, NY 10462-2136
Mailing Address2121 Paulding Ave Apt 4bBronx, NY 10462-2136 · (347) 394-6182
Sole ProprietorYes
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1619869666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NY · 040339-01
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
2121 PAULDING AVE APT 4B, Bronx, NY 10462

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 Raven Dominique Sullivan's NPI number?

The NPI number for Raven Dominique Sullivan is 1619869666. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Raven Dominique Sullivan located?

Raven Dominique Sullivan practices at 2121 Paulding Ave Apt 4B, Bronx, NY 10462. The listed phone number is (347) 394-6182.

What is Raven Dominique Sullivan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

When was this NPI record last updated?

The NPPES record for Raven Dominique Sullivan was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.