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

Jake Sullivan, PT

Individual provider Physical Therapist · NPI 1629637681

Jake Sullivan, PT is a Physical Therapist in Private Practice in Owensboro, Kentucky. Qualified in 2019, 7 years ago. Practices with Rehabilitation and Performance Institute PSC, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
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

2831 New Hartford Rd
Owensboro, KY 42303-1320
Phone: (270) 926-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2200 E Parrish Ave Bldg C, Owensboro, KY 42303-1449 — (270) 240-4682

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (KY)

Record details

NPI number1629637681
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 13, 2019
Mailing address2831 New Hartford Rd, Owensboro, KY 42303-1320

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rehabilitation And Performance Institute Psc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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