JAKE SULLIVAN PT
NPI 1629637681
Physical Therapist in Owensboro, KY
About Jake Sullivan Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE SULLIVAN PT (NPI 1629637681) is an individual physical therapist in Owensboro, Kentucky and active in the NPI registry since June 2019. He maintains a secondary practice location in Owensboro and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jake 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.
Medicare Billing Reassignment
Medicare enrollment records show Jake Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Owensboro, KY 42301
- Reassigned Medicare billing, Kentucky enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OWENSBORO, KY 42303
OWENSBORO, KY 42303
OWENSBORO, KY 42303
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 Jake Sullivan's NPI number?
The NPI number for Jake Sullivan is 1629637681. It was assigned to this individual provider in the NPPES registry on June 12, 2019.
Where is Jake Sullivan located?
Jake Sullivan practices at 2831 New Hartford Rd, Owensboro, KY 42303. The listed phone number is (270) 926-4100.
What is Jake Sullivan's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jake Sullivan enrolled in Medicare?
Yes. Jake 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.
Which organization bills Medicare for Jake Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Sullivan reassigns Medicare benefits to Rehabilitation And Performance Institute Psc (Owensboro, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jake Sullivan was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.