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

Emma Nicole Sullivan

Individual provider Physical Therapist · NPI 1225868557

Emma Nicole Sullivan is a Physical Therapist in Private Practice in Boulder, Colorado. Qualified in 2024, 2 years ago. Practices with Golden State Orthopedics and Spine, a 190-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

3434 47th St
Boulder, CO 80301-1880
Phone: (303) 376-0184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1225868557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing addressPo Box 933, Madison, NE 68748-0933

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Golden State Orthopedics And Spine — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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