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

Mr. Sean Raymond Sullivan, DPT, ATC

Individual provider Physical Therapist · NPI 1669871604

Mr. Sean Raymond Sullivan, DPT, ATC is a Physical Therapist in Private Practice in Stamford, Connecticut. Qualified in 2014, 12 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
12
Licensed in
CT, MA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1290 Summer St Ste 2000
Stamford, CT 06905-5339
Phone: (203) 989-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 21328 (MA)
Physical Therapist Taxonomy 225100000X · Licence 13432 (CT)

Record details

NPI number1669871604
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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