Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK ALLEN SULLIVAN, MBA, PT, ATC
ActiveMR. MARK ALLEN SULLIVAN, MBA, PT, ATC is a Physical Therapy Assistant healthcare provider located in SUFFIELD, Connecticut. NPI 1306874227 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SUFFIELD, CT
Registration Details
- NPI Number
- 1306874227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2006 (19.983167782997 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
003846 (CT)003846 (CT)003846 (CT)116 (MA)
Practice Information
- Address
-
133 MOUNTAIN RDSUITE 2B.SUFFIELD, CT, 060782084Browse CT providers · Browse ZIP 06078
- Phone
- 8602545982
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Environmental Modification (OT)
- Additional Specialty
- Ergonomics (Occupational Therapy)
- Additional Specialty
- Athletic Trainer
Other Physical Therapy Assistant Providers in SUFFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| LYNN ANNE CHAMPAGNE | PT | 1396779419 |
| MICHAEL P FALL | PT | 1821016577 |
| MRS. HEIDI SUZANNE DEFLORIO | P.T. | 1528135605 |
| MELISSA J. MORIN | — | 1942494505 |
| MS. ASHLEY ANNE MASIH | M.S.P.T. | 1154749489 |
| MR. SCOTT LOONEY | PT, MS | 1346783768 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.