Keith Edward Sullivan, DPT
Keith Edward Sullivan, DPT is a Physical Therapist in Private Practice in San Bruno, California. Qualified in 2010, 16 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 16
- Licensed in
- CA
- In the registry since
- 2014
What do these letters mean?
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
Practice location Address checks out
1001 Sneath LnSan Bruno, CA 94066-2308
Phone: (650) 871-8645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 37244 (CA) |
|---|
Record details
| NPI number | 1164823738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT |
| Sole proprietor | No |
| NPI enumerated | September 15, 2014 |
| Last updated in NPPES | January 3, 2022 |
| Mailing address | 1717 Los Altos Dr, San Mateo, CA 94402-3602 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in San Bruno
-
Kinetx Rehab
1001 Sneath Ln Ste 210, San Bruno, CA 94066-2349 · (650) 871-8645
-
Hideko Ogura
801 Traeger Ave, San Bruno, CA 94066-3048 · (650) 742-7297