MARY M OSULLIVAN – Physical Therapist, NPI 1508451576

MARY M OSULLIVAN is a healthcare provider. based in King of prussia, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT005952L (PA). The NPI Number for MARY M OSULLIVAN is 1508451576

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MARY M OSULLIVAN
NPI
1508451576
Phone
(610) 322-7345
Address
245 E VALLEY FORGE RD
Enumeration Date
2 March 2021
Last Update Date
2 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107285236
Graduation Year
1986 (40 years ago)
PAC ID
0446766760
Group Practice PAC ID
9032141189
Professional Enrollment ID
I20250723000445
Address ID
PA194035615AU10000DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for MARY M OSULLIVAN

  • 245 E VALLEY FORGE RD

    KING OF PRUSSIA, PA 194062032

    Phone: (610) 322-7345

    Type: Mailing

  • 190 W SPROUL RD

    SPRINGFIELD, PA 190642027

    Phone: (610) 338-2796

    Fax: (610) 338-2797

    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: 2025-07-23

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
I20250723000445IPhysical Therapist In Private PracticePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19406)

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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: 9032141189View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticePA
Family PracticePA
Physical Therapist In Private PracticePA
Qualified Speech Language PathologistPA
Occupational Therapist In Private PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify MARY M OSULLIVAN for billing?
Administrative and clinical systems typically use NPI 1508451576 for MARY M OSULLIVAN.
Should I treat MARY M OSULLIVAN as an active provider?
Patients and plans typically see MARY M OSULLIVAN as active in the national extract.
Which specialty label fits MARY M OSULLIVAN?
NPPES ties MARY M OSULLIVAN to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY M OSULLIVAN?
MARY M OSULLIVAN shows a connection to King Of Prussia, Pennsylvania in registry-derived data.
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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