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

Sean David Sullivan, PTA/L

Individual provider Physical Therapy Assistant · NPI 1114294329

Sean David Sullivan, PTA/L is a Physical Therapy Assistant in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
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Practice location Address checks out

804 Pleasant St
Brockton, MA 02301-3055
Phone: (508) 583-6000
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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 3586 (MA)

Record details

NPI number1114294329
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA/L
Sole proprietorNo
NPI enumeratedNovember 17, 2011
Last updated in NPPESNovember 17, 2011

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