DENISE SULLIVAN (PT) – Physical Therapist, NPI 1720489073

DENISE SULLIVAN (PT) is a healthcare provider. based in Odessa, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1247997 (TX). The NPI Number for DENISE SULLIVAN (PT) is 1720489073

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DENISE SULLIVAN (PT)
NPI
1720489073
Phone
(432) 366-9541
Address
4407 N GRANDVIEW AVE
Enumeration Date
5 September 2014
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2544315100
Graduation Year
2014 (12 years ago)
PAC ID
9335461516
Group Practice PAC ID
8729466552
Professional Enrollment ID
I20141124002073
Address ID
TX764013734ST2900XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DENISE SULLIVAN (PT)

  • 4407 N GRANDVIEW AVE

    ODESSA, TX 797625311

    Phone: (432) 366-9541

    Fax: (432) 366-1951

    Type: Mailing

  • 3838 50TH ST

    LUBBOCK, TX 794133808

    Phone: (806) 792-5522

    Fax: (806) 785-7582

    Type: Mailing

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: 2014-11-24

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
I20141124002073IPhysical Therapist In Private PracticeTXTBD

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 minutes50352$0
97140Therapy procedure using manual technique, each 15 minutes19540$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13626$0
97150Therapy procedure in a group setting6623$0
97164Re-evaluation for physical therapy, typically 20 minutes2919$0
View full utilization report →

Insurance plans in this area (ZIP 79762)

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Provider's Procedures

DENISE 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 THERAPYTX97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes14816

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: 8729466552View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to DENISE SULLIVAN (PT)?
The federal identifier for DENISE SULLIVAN (PT) is NPI 1720489073.
Is DENISE SULLIVAN (PT) active in the national directory?
DENISE SULLIVAN (PT)'s public NPI profile is in an active state.
What kind of provider is DENISE SULLIVAN (PT)?
The page reflects Physical Therapist for DENISE SULLIVAN (PT). Clinical services aligned with this taxonomy classification.
Where does public data place DENISE SULLIVAN (PT)?
The snapshot lists Odessa, Texas for DENISE SULLIVAN (PT); download NPPES for the complete set.
How can I contact DENISE SULLIVAN (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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