Mr. Mark A Sullivan, MBA, PT, ATC
Physical Therapist in Suffield, Connecticut
1306874227- Practice location
- 133 Mountain RD, Suite 2B., Suffield, CT 06078-2084
- Phone
- 860-254-5982
- Fax
- —
- Last updated
- September 11, 2025
Mark Allen Sullivan is a Physical Therapist based in Suffield, CT. Mark Allen Sullivan practices in Suffield, CT and has the professional credentials of MBA, PT, ATC. The NPI Number for Mark Allen Sullivan is 1306874227 and holds a License No. 003846 (CT). The current practice location address for Mark Allen Sullivan is 133 Mountain RD, Suite 2B., Suffield, CT 06078-2084 and can be reached out via phone at 860-254-5982.
Provider Profile Details
- NPI Number
- 1306874227
- Provider Name
- Mark Allen Sullivan
- Credential
- MBA, PT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 133 Mountain RD, Suite 2B., Suffield, CT 06078-2084
- Phone Number
- 860-254-5982
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 133 Mountain RD
Suite 2B.
Suffield, CT 06078-2084 - City
- Suffield
- State
- Connecticut
- Zip
- 06078-2084
- Phone Number
- 860-254-5982
Provider Business Mailing Address Details
- Address
- 40 Hearthstone Dr
Agawam, MA 01001-3238 - City
- Agawam
- State
- MA
- Zip
- 01001-3238
- Phone Number
- 413-789-2168
- Fax Number
- 860-254-5982
License Information
- License Number (1)
- 003846
- License State (1)
- CT
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 003846
- License State (2)
- CT
- Taxonomy (2)
- Physical Therapist, Sports · 2251S0007X
- License Number (3)
- 003846
- License State (3)
- CT
- Taxonomy (3)
- Physical Therapist, Orthopedic · 2251X0800X
- License Number (4)
- 116
- License State (4)
- MA
- Taxonomy (4)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Mark A Sullivan, MBA, PT, ATC?
The NPI number of Mr. Mark A Sullivan, MBA, PT, ATC is 1306874227. It was assigned on June 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark A Sullivan, MBA, PT, ATC?
Mr. Mark A Sullivan, MBA, PT, ATC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 003846.
Where does Mr. Mark A Sullivan, MBA, PT, ATC practice?
The practice location is 133 Mountain RD, Suite 2B., Suffield, CT 06078-2084. The office can be reached at 860-254-5982 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306874227 directly on the NPPES registry website.