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

Mr. Michael Leon Sullivan, PTA

Individual provider Physical Therapy Assistant · NPI 1285987818

Mr. Michael Leon Sullivan, PTA is a Physical Therapy Assistant in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
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

1707 W Elfindale St
Springfield, MO 65807-1246
Phone: (417) 831-2273
Fax: (417) 865-6876
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 116911 (MO)

Record details

NPI number1285987818
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 19, 2012
Last updated in NPPESOctober 19, 2012
Mailing address1707 W Elfindale St, Springfield, MO 65807-1246

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