Active NPIIndividual provider

Brittany Sullivan, DPT

Physical Therapist in Fairfax, Virginia

NPI Number1366047169
Practice location
8100 Innovation Park Dr, Fairfax, VA 22031-4870
Fax
—
Last updated
March 13, 2024

Brittany Sullivan is a Physical Therapist based in Fairfax, VA. Brittany Sullivan practices in Fairfax, VA and has the professional credentials of DPT. The NPI Number for Brittany Sullivan is 1366047169 and holds a License No. 25008 (MA). The current practice location address for Brittany Sullivan is 8100 Innovation Park Dr, Fairfax, VA 22031-4870 and can be reached out via phone at 571-472-0490.

Provider Profile Details

NPI Number
1366047169
Provider Name
Brittany Sullivan
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
8100 Innovation Park Dr, Fairfax, VA 22031-4870
Phone Number
571-472-0490
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2020
Last Update Date
March 13, 2024
Certification Date
March 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
8100 Innovation Park Dr
Fairfax, VA 22031-4870
Zip
22031-4870
Phone Number
571-472-0490
Fairfax, VA 22031Get directions →

Provider Business Mailing Address Details

Address
411 Mass Ave Ste 302
Acton, MA 01720-3739
City
Acton
State
MA
Zip
01720-3739
Phone Number
978-263-0007
Fax Number
978-263-0014

License Information

License Number (1)
25008
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
2305216129
License State (2)
VA
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Brittany Sullivan, DPT?

The NPI number of Brittany Sullivan, DPT is 1366047169. It was assigned on December 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Brittany Sullivan, DPT?

Brittany Sullivan, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 25008.

Where does Brittany Sullivan, DPT practice?

The practice location is 8100 Innovation Park Dr, Fairfax, VA 22031-4870. The office can be reached at 571-472-0490 (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 1366047169 directly on the NPPES registry website.

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