Individual provider · Type 1 NPI

Jack Sullivan, DPT

Physical Therapist · Glendale, AZ

NPI number 1790388981 Active

Practice location

18561 N 59th Ave
Glendale, AZ 85308-1256

Call (602) 313-4089 Map

Fax (623) 322-0664

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice locations

  • 12023 N Radio Station Rd Ste A, Seneca, SC 29678-1143 · (864) 985-0770

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Physical Therapist Primary 225100000XLPT-32921 (AZ)

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 1790388981

Jack Sullivan, DPT's National Provider Identifier is 1790388981, issued on Nov 19, 2020. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Glendale, AZ. The record was last updated on Feb 6, 2025.