JESSICA SULLIVAN (DPT) – Physical Therapist, NPI 1912598723

JESSICA SULLIVAN (DPT) is a healthcare provider. based in Vernon rockville, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for JESSICA SULLIVAN (DPT) is 1912598723

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA SULLIVAN (DPT)
NPI
1912598723
Phone
(860) 979-1611
Address
435 HARTFORD TPKE STE U
Enumeration Date
3 February 2021
Last Update Date
4 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608708272
Graduation Year
2020 (6 years ago)
PAC ID
5991110702
Group Practice PAC ID
8426428129
Professional Enrollment ID
I20210208002794
Address ID
CT060664834VE435XXTPKE301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for JESSICA SULLIVAN (DPT)

  • 435 HARTFORD TPKE STE U

    VERNON ROCKVILLE, CT 060664834

    Phone: (860) 979-1611

    Mailing address matches the actual address.

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: 2021-02-08

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
I20210208002794IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes50734$0
97140Therapy procedure using manual technique, each 15 minutes48134$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes48034$0
97530Therapy procedure using functional activities34527$0
97161Evaluation for physical therapy, typically 20 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 06066)

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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: 8426428129View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What is the registry number for JESSICA SULLIVAN (DPT)?
The registry entry for JESSICA SULLIVAN (DPT) shows NPI 1912598723.
Should I treat JESSICA SULLIVAN (DPT) as an active provider?
Patients and plans typically see JESSICA SULLIVAN (DPT) as active in the national extract.
What services align with JESSICA SULLIVAN (DPT)'s listing?
JESSICA SULLIVAN (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit JESSICA SULLIVAN (DPT) in Vernon Rockville, Connecticut?
For routing, start with Vernon Rockville, Connecticut for JESSICA SULLIVAN (DPT), then verify phone and hours locally.
Why is information missing for JESSICA SULLIVAN (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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