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

Sullivan Fross, PTA

Individual provider Physical Therapy Assistant · NPI 1649936212

Sullivan Fross, PTA is a Physical Therapy Assistant in Irvine, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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

4950 Barranca Pkwy Ste 302
Irvine, CA 92604-4631
Phone: (949) 346-1486
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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 51500 (CA)

Record details

NPI number1649936212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing address13221 Illinois St, Westminster, CA 92683-2609

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