KATHLEEN ANNE SULLIVAN (DPT) – Physical Therapist, NPI 1194408799

KATHLEEN ANNE SULLIVAN (DPT) is a healthcare provider. based in Parker, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 19355 (CO). The NPI Number for KATHLEEN ANNE SULLIVAN (DPT) is 1194408799

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN ANNE SULLIVAN (DPT)
NPI
1194408799
Phone
(303) 840-4667
Address
19964 Hilltop Rd Ste B
Enumeration Date
9 August 2023
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207887365
Graduation Year
2023 (3 years ago)
PAC ID
2365897089
Group Practice PAC ID
3971903477
Professional Enrollment ID
I20231016001031
Address ID
CO801097896CA4700XWAYX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for KATHLEEN ANNE SULLIVAN (DPT)

  • 19964 Hilltop Rd Ste B

    Parker, CO 801347317

    Phone: (303) 840-4667

    Fax: (303) 840-4658

    Type: Location

  • 5693 S Ventura Ct

    Centennial, CO 800153084

    Phone: (303) 690-3534

    Type: Location

  • 4700 CASTLETON WAY STE 300

    CASTLE ROCK, CO 801097896

    Phone: (720) 788-7365

    Fax: (720) 294-0284

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231016001031IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17831$0
97530Therapy procedure using functional activities17831$0
97140Therapy procedure using manual technique, each 15 minutes16430$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9327$0
97150Therapy procedure in a group setting6919$0
View full utilization report →

Insurance plans in this area (ZIP 80134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971903477View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCO
Qualified Speech Language PathologistGA
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Qualified Speech Language PathologistCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Does KATHLEEN ANNE SULLIVAN (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHLEEN ANNE SULLIVAN (DPT) uses 1194408799.
Does CMS list KATHLEEN ANNE SULLIVAN (DPT) as active?
Yes — KATHLEEN ANNE SULLIVAN (DPT) is active in the NPI listing used on this page.
What is KATHLEEN ANNE SULLIVAN (DPT)'s primary classification?
Physical Therapist is the headline specialty for KATHLEEN ANNE SULLIVAN (DPT) here. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN ANNE SULLIVAN (DPT) based?
KATHLEEN ANNE SULLIVAN (DPT) is tied to Parker, Colorado in the data we show; additional addresses may exist on the full record.
Why does KATHLEEN ANNE SULLIVAN (DPT) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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