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

William A Sullivan, DPT

Individual provider Physical Therapist · NPI 1053059642

William A Sullivan, DPT is a Physical Therapist in Private Practice in Virginia Beach, Virginia. Qualified in 2022, 4 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
4
Licensed in
NC, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614
Phone: (757) 364-0067
Fax: (757) 416-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 Burnetts Way Ste 230, Suffolk, VA 23434-8168 — (757) 942-2022

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305215020 (VA)
Physical Therapist Taxonomy 225100000X · Licence CP026249T (NC)

Record details

NPI number1053059642
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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