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

Dr. Kimberlee Dawn Sullivan, DPT

Individual provider Physical Therapist · NPI 1639108103

Dr. Kimberlee Dawn Sullivan, DPT is a Physical Therapist in Private Practice in Austin, Texas. Qualified in 2002, 24 years ago. Practices with Origin Physical Therapy Fl PLLC, a 78-clinician group. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12411 Hymeadow Dr Bldg 3 Ste 3B
Austin, TX 78750-1874
Phone: (512) 335-9300
Fax: (512) 335-9301
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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 1151958 (TX)

Record details

NPI number1639108103
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 26, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Origin Physical Therapy Fl Pllc — 78 clinicians
Accepts Medicare assignment Not indicated

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