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

Lily Sullivan, DPT

Individual provider Physical Therapist · NPI 1447082409

Lily Sullivan, DPT is a Physical Therapist in Private Practice in East Syracuse, New York. Qualified in 2024, 2 years ago. Practices with Syracuse Orthopedic Specialists, PLLC, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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

5823 Widewaters Pkwy Ste 3
East Syracuse, NY 13057-3081
Phone: (315) 418-4000
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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 052945 (NY)

Record details

NPI number1447082409
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Syracuse Orthopedic Specialists, Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Syracuse