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

Grant Sullivan

Individual provider Physical Therapist · NPI 1851758106

Grant Sullivan is a Physical Therapist in Private Practice in Nottingham, Maryland. Qualified in 2014, 12 years ago. Practices with Medstar Health Physical Therapy at Home LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2016
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Practice location Address checks out

13 Cedarcone Ct
Nottingham, MD 21236-1675
Phone: (301) 706-0612
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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 25301 (MD)

Record details

NPI number1851758106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medstar Health Physical Therapy At Home Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Nottingham