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

Dr. Michael Geoffrey Sullivan, DPT

Individual provider Physical Therapist · NPI 1104969716

Dr. Michael Geoffrey Sullivan, DPT is a Physical Therapist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
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

15 Parkman St
Boston, MA 02114-3117
Phone: (617) 724-0123
Fax: (617) 726-2957
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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 3586 (MA)

Record details

NPI number1104969716
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 10, 2007
Mailing address75 Audrey Ave, Needham, MA 02492-4353

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