JEANNE SULLIVAN – Physical Therapist, NPI 1003554965

JEANNE SULLIVAN is a healthcare provider. based in Cherry hill, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT01114 (RI). The NPI Number for JEANNE SULLIVAN is 1003554965

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
JEANNE SULLIVAN
NPI
1003554965
Phone
(877) 407-3422
Address
7 CARNEGIE PLZ
Enumeration Date
21 May 2022
Last Update Date
21 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
1986 (40 years ago)
PAC ID
7618355561
Group Practice PAC ID
9739445388
Professional Enrollment ID
I20220604000053
Address ID
RI028714072PO125XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

606 PHYSICAL THERAPIST IN PRIVATE PRACTICE in RI

Provider Addresses for JEANNE SULLIVAN

  • 7 CARNEGIE PLZ

    CHERRY HILL, NJ 080031000

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Mailing

  • 125 QUAKER HILL LN

    PORTSMOUTH, RI 028714072

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Location

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: 2022-06-04

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
I20220604000053IPhysical Therapist In Private PracticeRITBD

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
97530Therapy procedure using functional activities1,28541$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,18341$0
97116Therapy procedure for walking training, each 15 minutes75041$0
97162Evaluation for physical therapy, typically 30 minutes4740$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 08003)

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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: 9739445388View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeRI
-RI
Qualified Speech Language PathologistCT
Physical Therapist In Private PracticeRI
-PA
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeRI
-RI

Reviews

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Frequently asked questions

What is JEANNE SULLIVAN's NPI number?
JEANNE SULLIVAN's NPI is 1003554965 — the number used across U.S. healthcare to identify this provider.
Would JEANNE SULLIVAN appear as active to a payer?
You can treat JEANNE SULLIVAN as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JEANNE SULLIVAN?
JEANNE SULLIVAN's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in New Jersey is JEANNE SULLIVAN registered?
Use Cherry Hill, New Jersey as the headline location for JEANNE SULLIVAN here.
When was this NPI issued?
Enumeration for JEANNE SULLIVAN is noted as May 21, 2022 where the registry provides it.

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