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

Krysta Sullivan, DPT

Individual provider Physical Therapist · NPI 1780468025

Krysta Sullivan, DPT is a Physical Therapist in Private Practice in San Tan Valley, Arizona. Qualified in 2023, 3 years ago. Practices with Inbalance PT LLC, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

36397 N Gantzel Rd Ste 102
San Tan Valley, AZ 85140-7336
Phone: (480) 567-2987
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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 number1780468025
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 18, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Inbalance Pt Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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