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

Dr. Tara Sullivan, PT, PRPC, WCS, IF

Individual provider Physical Therapist · NPI 1699528299

Dr. Tara Sullivan, PT, PRPC, WCS, IF is a Physical Therapist in Private Practice in Phoenix, Arizona. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2012, 14 years ago. Practices with Mind to Body Healing LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
AZ
In the registry since
2024
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

3104 E Indian School Rd Ste 120
Phoenix, AZ 85016-6873
Phone: (480) 269-7953
Fax: (480) 769-7953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5735 E McKellips Rd Ste 106, Mesa, AZ 85215-2875 — (480) 269-7953

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9955 (AZ)

Record details

NPI number1699528299
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , PRPC , WCS , IF
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2012 (14 years in practice)
Group practice Mind To Body Healing Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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