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

Timothy Joseph Sullivan, PT

Individual provider Physical Therapist · NPI 1760496392

Timothy Joseph Sullivan, PT is a Physical Therapist in Private Practice in Redondo Beach, California. Qualified in 1997, 29 years ago. Practices with Physioworks, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2006
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

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604
Phone: (310) 374-0477
Fax: (310) 374-1605
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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 PT23153 (CA)

Record details

NPI number1760496392
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address2621 Manhattan Beach Blvd, Redondo Beach, CA 90278-1604

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Physioworks — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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