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

Mary Sullivan, PTA

Individual provider Physical Therapy Assistant · NPI 1871802488

Mary Sullivan, PTA is a Physical Therapy Assistant in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12301 Lake Underhill Rd Ste 118
Orlando, FL 32828-4510
Phone: (407) 218-4660
Fax: (407) 218-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA940 (FL)

Record details

NPI number1871802488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 30, 2010
Last updated in NPPESSeptember 30, 2010
Mailing address12301 Lake Underhill Rd Ste 118, Orlando, FL 32828-4510

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