JAKE SULLIVAN PT
NPI 1629637681
Physical Therapist in Owensboro, KY

Active since June 12, 2019Accepts Medicare Assignment
2831 NEW HARTFORD RD, OWENSBORO, KY 42303(270) 926-4100 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1629637681
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAKE SULLIVANCredential: PT
Location Address2831 NEW HARTFORD RDOwensboro, KY 42303-1320
Mailing Address2831 New Hartford RdOwensboro, KY 42303-1320 · (270) 926-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateJune 13, 2019
NPI 1629637681 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
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.
2831 NEW HARTFORD RD, Owensboro, KY 42303

Secondary Practice Location 1

Location 12200 E Parrish Ave Bldg COwensboro, KY 42303-1449 · Phone (270) 240-4682

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

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.

PECOS PAC ID5597095018
PECOS Enrollment IDI20190926001465

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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Occupational Therapist
2831 NEW HARTFORD RD
OWENSBORO, KY 42303
Physical Therapist
2831 NEW HARTFORD RD
OWENSBORO, KY 42303
Orthopaedic Surgery
2831 NEW HARTFORD RD
OWENSBORO, KY 42303
Orthopaedic Surgery
2831 NEW HARTFORD RD
OWENSBORO, KY 42303
Specialist/Technologist (Athletic Trainer)
2831 NEW HARTFORD RD
OWENSBORO, KY 42303
Physical Therapist
2831 NEW HARTFORD RD
OWENSBORO, KY 42303
Physical Therapist
2831 NEW HARTFORD RD, RIDGECREST MEDICAL PARK
OWENSBORO, KY 42303
Physical Therapist
2831 NEW HARTFORD RD
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.

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.