MEDICARE: DEBORAH SULLIVAN PT

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	2305002946	VA

General Provider Information

NPI Number	:	1568612356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH SULLIVAN PT

Provider Business Mailing Address
First Line	:	2252 WILD OAK CRES
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-4049
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2135 GENERAL BOOTH BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5881
Country	:	US
Telephone Number	:	757-430-8828
Fax Number	:

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

Provider Enumeration Date	:	09/29/2008
Last Update Date	:	09/29/2008

Similar Medicare Providers

1083638092 — MS. ALICIA ANTOINETTE KENT M.S., ED. CCC-SLP
Practice Location Address:

2135 GENERAL BOOTH BLVD , SUITE 152
VIRGINIA BEACH, VA
23454-5881

Practice Phone: 757-430-8828
Practice Fax: 757-430-8189

1386657708 — MS. CYNTHIA MARIA SIMMONS PT
Practice Location Address:

2135 GENERAL BOOTH BLVD , STE. 152
VIRGINIA BEACH, VA
23454-5881

Practice Phone: 757-430-8828
Practice Fax:

1295930501 — CHRISTINA MARIE DOLENTI PT
Practice Location Address:

2135 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA
23454-5881

Practice Phone: 757-430-8828
Practice Fax:

1508062019 — REBECCA LEE BUSCIGLIO LPTA
Practice Location Address:

2135 GENERAL BOOTH BLVD , SUITE 152
VIRGINIA BEACH, VA
23454-5881

Practice Phone: 757-430-8828
Practice Fax:

1578769469 — KELLY MCGUIRE LPTA
Practice Location Address:

2135 GENERAL BOOTH BLVD STE 152
VIRGINIA BEACH, VA
23454-5881

Practice Phone: 757-438-8828
Practice Fax: 757-430-8189

1740419969 — MRS. KELSEY LYNN HEARN PT
Practice Location Address:

2135 GENERAL BOOTH BLVD , SUITE 152
VIRGINIA BEACH, VA
23454-5881

Practice Phone: 757-430-8828
Practice Fax: 757-430-8189

Directions to “ DEBORAH SULLIVAN PT” 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.