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

James Sullivan, PTA

Individual provider Physical Therapy Assistant · NPI 1003299777

James Sullivan, PTA is a Physical Therapy Assistant in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

10821 Bouldercrest Dr
South Lyon, MI 48178
Phone: (313) 717-3291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502003968 (MI)

Record details

NPI number1003299777
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESJune 30, 2015
Mailing address10821 Bouldercrest Drive, South Lyon, MI 48178

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