Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brendan Sullivan, PT

Individual provider Physical Therapist · NPI 1962494740

Brendan Sullivan, PT is a Physical Therapist in Private Practice in Latham, New York. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8 Century Hill Dr Ste 201
Latham, NY 12110-2193
Phone: (518) 690-4406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017907 (NY)

Record details

NPI number1962494740
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESAugust 15, 2013
Mailing addressPo Box 14631, Empire Fitness & Pt, Pc, Albany, NY 12212-4631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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