DR. TARA SULLIVAN PT, PRPC, WCS, IF
NPI 1699528299
Physical Therapist in Phoenix, AZ

Active since April 11, 2024Accepts Medicare Assignment
3104 E INDIAN SCHOOL RD STE 120, PHOENIX, AZ 85016(480) 269-7953(480) 769-7953 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2025, Apr 11, 2024 (2 updates tracked since 2024).

About Dr. Tara Sullivan Pt, Prpc, Wcs, If NPPES

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

DR. TARA SULLIVAN PT, PRPC, WCS, IF (NPI 1699528299) is an individual physical therapist in Phoenix, Arizona, licensed in Arizona (9955) and active in the NPI registry since April 2024. She maintains a secondary practice location in Mesa and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2012).

NPPES Registry Identity

NPI1699528299
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. TARA SULLIVANCredential: PT, PRPC, WCS, IF
Location Address3104 E INDIAN SCHOOL RD STE 120Phoenix, AZ 85016-6873
Mailing Address2529 E Highland AvePhoenix, AZ 85016-4919
Fax(480) 769-7953
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2012
Enumeration DateApril 11, 2024
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1699528299 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 AZ · 9955
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.
3104 E INDIAN SCHOOL RD STE 120, Phoenix, AZ 85016

Secondary Practice Location 1

Location 15735 E McKellips Rd Ste 106Mesa, AZ 85215-2875 · Phone (480) 269-7953 · Fax (480) 769-7269

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

Dr. Tara Sullivan Pt, Prpc, Wcs, If 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 ID4981112497
PECOS Enrollment IDI20251013002413

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

Physical Therapist
3104 E INDIAN SCHOOL RD STE 120
PHOENIX, AZ 85016
Occupational Therapist
3104 E INDIAN SCHOOL RD STE 120
PHOENIX, AZ 85016
Physical Therapist
3104 E INDIAN SCHOOL RD STE 120
PHOENIX, AZ 85016

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 Tara Sullivan's NPI number?

The NPI number for Tara Sullivan is 1699528299. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Tara Sullivan located?

Tara Sullivan practices at 3104 E Indian School Rd Ste 120, Phoenix, AZ 85016. The listed phone number is (480) 269-7953.

What is Tara Sullivan's specialty?

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

Is Tara Sullivan enrolled in Medicare?

Yes. Tara 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 Tara Sullivan was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.