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

Madeline Klaire Sullivan, DPT

Individual provider Pediatric Physical Therapist · NPI 1831882976

Madeline Klaire Sullivan, DPT is a Physical Therapist in Private Practice in Magee, Mississippi. Qualified in 2023, 3 years ago. Practices with Performance Therapy LLC, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
Specialties on file
11
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

300 3rd Ave SE
Magee, MS 39111-3665
Phone: (601) 849-5070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 — (601) 847-2221

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Sports Physical Therapist Taxonomy 2251S0007X
Hand Physical Therapist Taxonomy 2251H1200X
Human Factors Physical Therapist Taxonomy 2251H1300X
Neurology Physical Therapist Taxonomy 2251N0400X
Ergonomics Physical Therapist Taxonomy 2251E1200X
Clinical Electrophysiology Physical Therapist Taxonomy 2251E1300X
Cardiopulmonary Physical Therapist Taxonomy 2251C2600X
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence PT7542 (MS)
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1831882976
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 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 Performance Therapy Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount