JERRY SULLIVAN (PT) – Physical Therapist, NPI 1487631594

JERRY SULLIVAN (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 070-002636 (IL). The NPI Number for JERRY SULLIVAN (PT) is 1487631594

Main info

Male
Name
JERRY SULLIVAN (PT)
NPI
1487631594
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
29 December 2005
Last Update Date
25 October 2013
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

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Provider Addresses for JERRY SULLIVAN (PT)

  • Remington Boulevard, Bolingbrook, Will County, Illinois, 60439:60440, United States

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • Medical Office Building Two, 1975, Lin Lor Lane, Tuscan Woods, Country Knolls, Elgin, Kane County, Illinois, 60123, United States

    ELGIN, IL 601234902

    Phone: (847) 468-6098

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 60440)

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Reviews

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Frequently asked questions

How do payers reference JERRY SULLIVAN (PT)?
For JERRY SULLIVAN (PT), use NPI 1487631594 as the unique 10-digit identifier.
Would JERRY SULLIVAN (PT) appear as active to a payer?
You can treat JERRY SULLIVAN (PT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JERRY SULLIVAN (PT)?
JERRY SULLIVAN (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JERRY SULLIVAN (PT)?
Travel planning: use Bolingbrook, Illinois as the reference point for JERRY SULLIVAN (PT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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