Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. SHANNON SULLIVAN PT
NPI 1194716605
Physical Therapist in New Hartford, NY

Active since November 03, 2005
1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1415(315) 798-1700 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shannon Sullivan Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANNON SULLIVAN PT (NPI 1194716605) is an individual physical therapist in New Hartford, New York, licensed in New York (024013) and active in the NPI registry since November 2005. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1194716605
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMS. SHANNON SULLIVANCredential: PT
Location Address1729 BURRSTONE RDNew Hartford, NY 13413-1001
Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1415 · Fax (315) 798-1700
Fax(315) 798-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1194716605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 024013
Definition
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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1729 BURRSTONE RD, New Hartford, NY 13413

Other Identifiers 1

Medicaid02290288NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Shannon Sullivan Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002840808
PECOS Enrollment IDI20050921000623

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
712 services96 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
86 services19 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
67 services64 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
14 services14 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Nurse Practitioner
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1729 BURRSTONE RD, SLOCUM-DICKSON MEDICAL GROUP
NEW HARTFORD, NY 13413
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Pain Medicine (Pain Medicine)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Internal Medicine
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Physical Therapist
1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1194716605. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Shannon Sullivan located?

Shannon Sullivan practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1415.

What is Shannon Sullivan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Shannon Sullivan enrolled in Medicare?

Yes. Shannon Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.