SHAUN M SULLIVAN (PT) – Physical Therapist, NPI 1144221342

SHAUN M SULLIVAN (PT) is a healthcare provider. based in Bay city, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501003708 (MI). The NPI Number for SHAUN M SULLIVAN (PT) is 1144221342

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SHAUN M SULLIVAN (PT)
NPI
1144221342
Phone
(989) 892-4557
Address
2618 CENTER AVE
Enumeration Date
10 August 2005
Last Update Date
21 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9894503341
Graduation Year
1988 (38 years ago)
PAC ID
9436111499
Group Practice PAC ID
7618211236
Professional Enrollment ID
I20050205000049
Address ID
MI487086300BA2618XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for SHAUN M SULLIVAN (PT)

  • 2618, Center Avenue, City of Bay City, Hampton Charter Township, Bay County, Michigan, 48708, United States

    BAY CITY, MI 487086300

    Phone: (989) 892-4557

    Fax: (989) 892-4686

    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: 2005-02-05

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
I20050205000049IPhysical Therapist In Private PracticeMITBD

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
97140Therapy procedure using manual technique, each 15 minutes1,01751$0
97530Therapy procedure using functional activities51639$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13641$0
97161Evaluation for physical therapy, typically 20 minutes5650$0
View full utilization report →

Insurance plans in this area (ZIP 48708)

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Provider's Procedures

SHAUN M 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 THERAPYMI97001Physical therapy evaluation3632
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes72135

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: 7618211236View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I cross-check SHAUN M SULLIVAN (PT) using NPI 1144221342?
NPI 1144221342 belongs to SHAUN M SULLIVAN (PT); compare other details if you need extra assurance.
Is SHAUN M SULLIVAN (PT) shown as active in public data?
Registry records indicate SHAUN M SULLIVAN (PT) maintains an active NPI.
What clinical focus is listed for SHAUN M SULLIVAN (PT)?
At a glance, SHAUN M SULLIVAN (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SHAUN M SULLIVAN (PT)?
Directory geography for SHAUN M SULLIVAN (PT) centers on Bay City, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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