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

MS. Shannon Sullivan, PT

Individual provider Physical Therapist · NPI 1194716605

MS. Shannon Sullivan, PT is a Physical Therapist in Private Practice in New Hartford, New York. Qualified in 2002, 24 years ago. Practices with Slocum Dickson Medical Group PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone: (315) 798-1415
Fax: (315) 798-1700
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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 024013 (NY)

Record details

NPI number1194716605
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Slocum Dickson Medical Group Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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