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

Mason Sullivan, DPT

Individual provider Physical Therapist · NPI 1093339483

Mason Sullivan, DPT is a Physical Therapist in Private Practice in Clarksville, Indiana. Qualified in 2020, 6 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

325 E Lewis And Clark Pkwy Ste 100
Clarksville, IN 47129-1725
Phone: (812) 283-3231
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05016321A (IN)

Record details

NPI number1093339483
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address325 E Lewis And Clark Pkwy, Clarksville, IN 47129-1725

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clarksville