Individual provider · Type 1 NPI

Samantha Jo Sullivan, PT, DPT

Physical Therapist · Tulsa, OK

NPI number 1083520829 Active

Practice location

3146 E 11th Street
Tulsa, OK 74104

Mailing address

6115 S New Haven Ave
Tulsa, OK 74136-1510

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X3417 (AR)
Physical Therapist Primary 225100000X7110 (OK)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1083520829

Samantha Jo Sullivan, PT, DPT's National Provider Identifier is 1083520829, issued on Aug 21, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 21, 2026.