Active NPIIndividual provider

Susan M Sullivan, PT

Physical Therapist in Chestnut Hill, Massachusetts

NPI Number1972480770
Practice location
850 Boylston St Ste 200, Chestnut Hill, MA 02467-2402
Fax
—
Last updated
August 21, 2025

Susan Marie Sullivan is a Physical Therapist based in Chestnut Hill, MA. Susan Marie Sullivan practices in Chestnut Hill, MA and has the professional credentials of PT. The NPI Number for Susan Marie Sullivan is 1972480770 and holds a License No. 11405 (MA). The current practice location address for Susan Marie Sullivan is 850 Boylston St Ste 200, Chestnut Hill, MA 02467-2402 and can be reached out via phone at 617-732-9574.

Provider Profile Details

NPI Number
1972480770
Provider Name
Susan Marie Sullivan
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
850 Boylston St Ste 200, Chestnut Hill, MA 02467-2402
Phone Number
617-732-9574
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2025
Last Update Date
August 21, 2025
Certification Date
August 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
850 Boylston St Ste 200
Chestnut Hill, MA 02467-2402
Zip
02467-2402
Phone Number
617-732-9574
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
850 Boylston St Ste 200
Chestnut Hill, MA 02467-2402
City
Chestnut Hill
State
MA
Zip
02467-2402
Phone Number
617-697-6839

License Information

License Number
11405
License State
MA
Taxonomy
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 Susan M Sullivan, PT?

The NPI number of Susan M Sullivan, PT is 1972480770. It was assigned on August 21, 2025 and is currently active in the NPPES registry.

What is the specialty of Susan M Sullivan, PT?

Susan M Sullivan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 11405.

Where does Susan M Sullivan, PT practice?

The practice location is 850 Boylston St Ste 200, Chestnut Hill, MA 02467-2402. The office can be reached at 617-732-9574 (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 1972480770 directly on the NPPES registry website.

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