Individual provider · Type 1 NPI
Jessica Sullenberger
Physical Therapy Assistant · Park City, UT
Practice location
1640 West Redstone Center Dr, Suite 200
Park City, UT 84098
Mailing address
PO Box 63, 418 Gallimore Rd
Port William, OH 45164-0063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 20373 (FL) |
| Physical Therapy Assistant | 225200000X | PTA 05746 (OH) |
| Physical Therapy Assistant Primary | 225200000X | 2056595 (TX) |
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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- Melvin Norton, PTAPhysical Therapy Assistant Park City, UT NPI 1023215209
- Amy S. Koch, P.T.A.Physical Therapy Assistant Park City, UT NPI 1265763379
- Roel RuizPhysical Therapy Assistant Park City, UT NPI 1275705105
- Ricardo Ulysses Molina, PTAPhysical Therapy Assistant Park City, UT NPI 1326377169
- Kate WigmanPhysical Therapy Assistant Park City, UT NPI 1336508696
- Shabrittany Williams, LPTAPhysical Therapy Assistant Park City, UT NPI 1346806551
- Emily Ann Floyd, PTAPhysical Therapy Assistant Park City, UT NPI 1386809069
About NPI 1659588176
Jessica Sullenberger's National Provider Identifier is 1659588176, issued on May 16, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Park City, UT. The record was last updated on Sep 11, 2025.