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

Katie Leigh Sullivan, PT

Individual provider Physical Therapist · NPI 1073534863

Katie Leigh Sullivan, PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2004, 22 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2006
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

1630 Commanche Ave
Green Bay, WI 54313-6089
Phone: (920) 433-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 964 W Ryan St, Brillion, WI 54110-1076 — (920) 756-2055
  • 595 County Road R, Denmark, WI 54208-9120 — (920) 863-2005
  • 140b School Creek Trl, Luxemburg, WI 54217-1095 — (920) 845-1370

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10366-24 (WI)

Record details

NPI number1073534863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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