Individual provider · Type 1 NPI

Mark Allen Sullivan, MBA, PT, ATC

Physical Therapist · Suffield, CT

NPI number 1306874227 Active

Practice location

133 Mountain Rd, Suite 2B.
Suffield, CT 06078-2084

Mailing address

40 Hearthstone Dr
Agawam, MA 01001-3238

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X003846 (CT)
Sports Physical Therapist 2251S0007X003846 (CT)
Orthopedic Physical Therapist 2251X0800X003846 (CT)
Athletic Trainer 2255A2300X116 (MA)

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 1306874227

Mark Allen Sullivan, MBA, PT, ATC's National Provider Identifier is 1306874227, issued on Jun 29, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Suffield, CT. The record was last updated on Sep 11, 2025.