Individual provider · Type 1 NPI

Kevin Sullivan

Physical Therapy Assistant · Camarillo, CA

NPI number 1659258044 Active

Practice location

450 Rosewood Ave Ste 105
Camarillo, CA 93010-5914

Call (805) 389-4781 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X11051 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1659258044

Kevin Sullivan's National Provider Identifier is 1659258044, issued on Aug 19, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Camarillo, CA. The record was last updated on Aug 19, 2025.