MEDICARE: MR. DANIEL GERARD SULLIVAN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1021442	TX

General Provider Information

NPI Number	:	1417099979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL GERARD SULLIVAN P.T.

Provider Business Mailing Address
First Line	:	5530 LIPES BLVD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-5511
Country	:	US
Telephone Number	:	361-993-9494
Fax Number	:	361-993-4477

Provider Business Practice Location Address
First Line	:	5530 LIPES
Second Line	:	SUITE 105
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-5511
Country	:	US
Telephone Number	:	361-993-9494
Fax Number	:	361-993-4477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	09/13/2012

Similar Medicare Providers

1356660369 — SOUTH TEXAS SPORTS MEDICINE INC
Practice Location Address:

5530 LIPES BLVD
CORPUS CHRISTI, TX
78413-5511

Practice Phone: 361-993-9494
Practice Fax: 361-687-2464

1235598707 — STEPHEN ROGER VILLANUEVA PT
Practice Location Address:

5530 LIPES BLVD
CORPUS CHRISTI, TX
78413-5511

Practice Phone: 361-993-9494
Practice Fax:

1043980220 — MRS. CORYFRANCIS LEE MARTINEZ MS, CCC-SLP
Practice Location Address:

3730 RODD FIELD RD
CORPUS CHRISTI, TX
78414-5511

Practice Phone: 361-878-2980
Practice Fax:

1245170091 — ODETTE ANN GONZALEZ LCSW
Practice Location Address:

5501 BURNHAM DR APT 9
CORPUS CHRISTI, TX
78413-3789

Practice Phone: 210-723-1060
Practice Fax:

1306565932 — MS. DAISY MAY MENDEZ
Practice Location Address:

5959 S STAPLES ST STE 102
CORPUS CHRISTI, TX
78413-3844

Practice Phone: 361-854-7000
Practice Fax: 361-814-2685

1699199828 — CLAUDIA SCHMIDT IKONOMOPOULOS MS, LPC
Practice Location Address:

5934 S STAPLES ST STE 230
CORPUS CHRISTI, TX
78413-3800

Practice Phone: 361-739-1679
Practice Fax: 361-239-4286

Directions to “ MR. DANIEL GERARD SULLIVAN P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.