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MR. JERRY L. SULLIVAN JR. ATC
NPI 1306909551
Specialist/Technologist - Athletic Trainer in Springfield, IL

Active since December 19, 2006
3631 S. SIXTH STREET, SPRINGFIELD, IL 62703(217) 341-4955 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry L. Sullivan Jr. Atc NPPES

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

MR. JERRY L. SULLIVAN JR. ATC (NPI 1306909551) is an individual athletic trainer provider in Springfield, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1306909551
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JERRY L. SULLIVAN JR.Credential: ATC
Location Address3631 S. SIXTH STREETSpringfield, IL 62703
Mailing Address706 E Ash StTaylorville, IL 62568-1657 · (217) 824-2863
Phone(217) 341-4955
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306909551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
3631 S. SIXTH STREET, Springfield, IL 62703
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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 Jerry Sullivan's NPI number?

The NPI number for Jerry Sullivan is 1306909551. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Jerry Sullivan located?

Jerry Sullivan practices at 3631 S. Sixth Street, Springfield, IL 62703. The listed phone number is (217) 341-4955.

What is Jerry Sullivan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jerry Sullivan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.