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

Marisol Sullivan

Individual provider Physical Therapist · NPI 1558029199

Marisol Sullivan is a Physical Therapist in Private Practice in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2021, 5 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
University of Utah School of Medicine
In the registry since
2021
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Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-2843
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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 number1558029199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESMarch 6, 2022
Certification dateMarch 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salt Lake City