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

Matthew Sullivan

Individual provider Physical Therapist · NPI 1619329703

Matthew Sullivan is a Physical Therapist in Private Practice in Santa Fe, New Mexico. Qualified in 2016, 10 years ago. Practices with Pure Movement, LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and New Mexico.

Years since qualifying
10
Licensed in
CO, NM
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1935 Warner Ave
Santa Fe, NM 87505-5452
Phone: (505) 906-6683
Fax: (505) 421-0271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 223 N Guadalupe St # 593, Santa Fe, NM 87501-1868 — (316) 648-8105

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5279 (NM)
Physical Therapist Taxonomy 225100000X · Licence PTL.0014097 (CO)

Record details

NPI number1619329703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 12, 2016
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address1935 Warner Ave, Santa Fe, NM 87505-5452

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pure Movement, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Fe