Raven Dominique Sullivan, PT, DPT
NPI 1619869666 · Physical Medicine & Rehabilitation Physician · Bronx, NY
Raven Dominique Sullivan, PT, DPT is a Physical Medicine & Rehabilitation Physician provider in Bronx, NY (NPI 1619869666).
Provider details
- NPI number
- 1619869666
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 040339-01 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Frequently asked questions
- What is Raven Dominique Sullivan's NPI number?
- Raven Dominique Sullivan's National Provider Identifier (NPI) is 1619869666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Dominique Sullivan's specialty?
- Raven Dominique Sullivan is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Raven Dominique Sullivan located?
- Raven Dominique Sullivan's practice location on file with NPPES is 2121 Paulding Ave Apt 4b, Bronx, NY 10462-2136.
- What is Raven Dominique Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Raven Dominique Sullivan is (347) 394-6182.
- Is Raven Dominique Sullivan's NPI active?
- Yes — Raven Dominique Sullivan's NPI (1619869666) is active in the NPPES registry as of the last update on 2025-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.