NPPES file of Aug 9, 2026

Jack Sullivan, DPT

Physical Therapist · Glendale, AZ

Jack Sullivan, DPT is a physical therapist with a practice address in Glendale, Arizona, and NPI 1790388981, issued on Nov 19, 2020. Check the license (Arizona LPT-32921, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790388981
Name
Jack Sullivan
Credential
DPT
Primary taxonomy
Physical Therapist 225100000X
License number
LPT-32921 AZ
Self-reported in NPPES; status is on the state search
Practice location
18561 N 59TH Ave, Glendale, AZ 85308
Phone
(602) 313-4089
Enumerated
Nov 19, 2020
Record last updated
Feb 6, 2025
Fax
(623) 322-0664
Medicare enrollment
Enrolled (PECOS I20241213002565); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 18561 N 59TH Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ethan MychajlonkaPhysical Therapist1841186541

Verify Jack Sullivan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license LPT-32921
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Ati Holdings OF Arizona LLCGlendale, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jack Sullivan among 5,351 physical therapist records in Arizona

Jack Sullivan, DPT is one of 5,351 physical therapist records with a practice address in Arizona. 40% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 67% of them.

  • NPI issued2020 · 67% of these records are older, 29% newer
  • In a Medicare fileYes · 40% of these records are
  • In the CMS Doctors and Clinicians fileYes · 41% of these records are
  • Graduated2020 · median 2018 among the 2,172 with a school on file
  • Record last updated2025 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

236 physical therapist records list a practice address in Glendale

They are 236 of the 5,447 NPPES records with a practice address in Glendale, and 5,351 physical therapist records in Arizona.

The 8 physical therapist records with the nearest ZIP codes

  1. Clinton Borman, DPT, MTCGlendale, AZ 853081851398119
  2. Veronika Campbell, PT, MPT, CSCS, NSCGlendale, AZ 853081982655221
  3. David Dorland, MS PTGlendale, AZ 853081811953425
  4. Heidi Erpelding, PTGlendale, AZ 853081902809072
  5. Stephanie Gilbert, MSPTGlendale, AZ 853081831140169
  6. Michele Gist, P.T.Glendale, AZ 853081326021569
  7. Jennifer Hallquist, PT, DPT, LMTGlendale, AZ 853081194776443
  8. Steven Hust, P.T.Glendale, AZ 853081184607996

Common questions

What is Jack Sullivan, DPT's NPI number?

Jack Sullivan, DPT's National Provider Identifier (NPI) is 1790388981, issued on Nov 19, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Jack Sullivan, DPT located?

The NPPES record lists a practice address at 18561 N 59TH Ave, Glendale, AZ, 85308. Phone: (602) 313-4089. Providers update this record themselves, so call before visiting.

How can I verify Jack Sullivan, DPT's license?

NPPES lists Arizona license number LPT-32921, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.