COLLEEN CRONIN SULLIVAN (PT) – Physical Therapist, NPI 1760494090

COLLEEN CRONIN SULLIVAN (PT) is a healthcare provider. based in South windsor, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 005876 (CT). The NPI Number for COLLEEN CRONIN SULLIVAN (PT) is 1760494090

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN CRONIN SULLIVAN (PT)
NPI
1760494090
Phone
(860) 697-6472
Address
1350 SULLIVAN AVE
Enumeration Date
13 August 2006
Last Update Date
19 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606976472
Graduation Year
1997 (29 years ago)
PAC ID
9032176235
Group Practice PAC ID
7618872086
Professional Enrollment ID
I20041220000032
Address ID
CT060742760SO1350XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for COLLEEN CRONIN SULLIVAN (PT)

  • 1350, Sullivan Avenue, Wapping, South Windsor, Hartford County, Connecticut, 06074, United States

    SOUTH WINDSOR, CT 060742713

    Phone: (860) 697-6472

    Type: Location

  • 73, Newton Road, Plaistow, Rockingham County, New Hampshire, 03865, United States

    STE 101

    PLAISTOW, NH 038652424

    Phone: (978) 388-7272

    Fax: (978) 388-7373

    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: 2004-12-20

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
I20041220000032IPhysical Therapist In Private PracticeCTTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39342$0
97140Therapy procedure using manual technique, each 15 minutes35742$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes32042$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care24734$0
97530Therapy procedure using functional activities15629$0
View full utilization report →

Insurance plans in this area (ZIP 06074)

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Provider's Procedures

COLLEEN CRONIN SULLIVAN (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCT97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes62962

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: 7618872086View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeNH
Physical Therapist In Private PracticeNH
-ME
Physical Therapist In Private PracticeNH
Physical Therapist In Private PracticeNH
Physical Therapist In Private PracticeME
-NH
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is the registry number for COLLEEN CRONIN SULLIVAN (PT)?
The registry entry for COLLEEN CRONIN SULLIVAN (PT) shows NPI 1760494090.
Should I treat COLLEEN CRONIN SULLIVAN (PT) as an active provider?
Patients and plans typically see COLLEEN CRONIN SULLIVAN (PT) as active in the national extract.
What type of care does COLLEEN CRONIN SULLIVAN (PT) provide?
COLLEEN CRONIN SULLIVAN (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is COLLEEN CRONIN SULLIVAN (PT) tied to South Windsor, Connecticut?
If you are local to South Windsor, Connecticut, COLLEEN CRONIN SULLIVAN (PT) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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