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

Individual provider Physical Therapist · NPI 1144221342

Shaun M Sullivan, PT is a Physical Therapist in Private Practice in Bay City, Michigan. Qualified in 1988, 38 years ago. Practices with Renue 012 Essexville LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
38
Licensed in
MI
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

2618 Center Ave
Bay City, MI 48708-6300
Phone: (989) 892-4557
Fax: (989) 892-4686
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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 5501003708 (MI)

Record details

NPI number1144221342
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESApril 21, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Renue 012 Essexville Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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