Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raven Dominique Bedonia Sullivan, PT, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1619869666

Raven Dominique Bedonia Sullivan, PT, DPT is a Physical Medicine & Rehabilitation Physician in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2121 Paulding Ave Apt 4B
Bronx, NY 10462-2136
Phone: (347) 394-6182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 040339-01 (NY)

Record details

NPI number1619869666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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