HARRISON SULLIVAN (DPT) – Physical Therapist, NPI 1790154060

HARRISON SULLIVAN (DPT) is a healthcare provider. based in Norton, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 460380 (MA). The NPI Number for HARRISON SULLIVAN (DPT) is 1790154060

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
HARRISON SULLIVAN (DPT)
NPI
1790154060
Phone
Not provided
Address
250 E MAIN ST
Enumeration Date
17 September 2015
Last Update Date
17 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028616700
Graduation Year
2015 (11 years ago)
PAC ID
8729380738
Group Practice PAC ID
4789773292
Professional Enrollment ID
I20180628000951
Address ID
VT054018419BU90XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for HARRISON SULLIVAN (DPT)

  • 250 E MAIN ST

    NORTON, MA 027662436

    Phone:

    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: 2018-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160107002951IPhysical Therapist In Private PracticeMATBD
I20180628000951IPhysical Therapist In Private PracticeVTTBD

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 minutes15411$0
View full utilization report →

Insurance plans in this area (ZIP 02766)

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Provider's Procedures

HARRISON SULLIVAN (DPT) 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 THERAPYMA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12312
PHYSICAL THERAPYMA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes10214

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: 4789773292View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeCO
-MA
Physical Therapist In Private PracticeVT

Reviews

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Frequently asked questions

How do payers reference HARRISON SULLIVAN (DPT)?
For HARRISON SULLIVAN (DPT), use NPI 1790154060 as the unique 10-digit identifier.
Would HARRISON SULLIVAN (DPT) appear as active to a payer?
You can treat HARRISON SULLIVAN (DPT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to HARRISON SULLIVAN (DPT)?
HARRISON SULLIVAN (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is HARRISON SULLIVAN (DPT) associated with Norton?
Public fields place HARRISON SULLIVAN (DPT) around Norton, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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