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

Melanie Sullivan

Individual provider Physical Therapy Assistant · NPI 1093163404

Melanie Sullivan is a Physical Therapy Assistant in Johnston, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2016
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Practice location Address checks out

6866 Jack London Dr
Johnston, IA 50131-4755
Phone: (641) 832-8690
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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 074902 (IA)

Record details

NPI number1093163404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 25, 2016
Mailing address6866 Jack London Dr, Johnston, IA 50131-4755

Other providers in Johnston