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

Lauren Sullivan

Individual provider Physical Therapist · NPI 1194516260

Lauren Sullivan is a Physical Therapist in Private Practice in St Petersburg, Florida. Qualified in 2025, 1 year ago. Practices with Optimal Performance and Physical Therapies St Petersburg, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

2600 Dr Martin Luther King Jr St N Ste 200B
St Petersburg, FL 33704-2744
Phone: (727) 475-5540
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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 PTT43114 (FL)

Record details

NPI number1194516260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Optimal Performance And Physical Therapies St Petersburg, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Petersburg