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

Mary M Osullivan

Individual provider Physical Therapist · NPI 1508451576

Mary M Osullivan is a Physical Therapist in Private Practice in Springfield, Pennsylvania. Qualified in 1986, 40 years ago. Practices with Shannondell, Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
40
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

190 W Sproul Rd
Springfield, PA 19064-2027
Phone: (610) 338-2796
Fax: (610) 338-2797
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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 PT005952L (PA)

Record details

NPI number1508451576
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address245 E Valley Forge Rd, King Of Prussia, PA 19406-2032

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Shannondell, Inc. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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