Keith Sullivan, DPT
NPI 1164823738 · Orthopedic Physical Therapist · San Bruno, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Sullivan, DPT is a Orthopedic Physical Therapist provider in San Bruno, CA (NPI 1164823738).
Provider details
- NPI number
- 1164823738
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 37244 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-15
- Last updated
- 2022-01-03
Frequently asked questions
- What is Keith Sullivan's NPI number?
- Keith Sullivan's National Provider Identifier (NPI) is 1164823738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Sullivan's specialty?
- Keith Sullivan is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Keith Sullivan located?
- Keith Sullivan's practice location on file with NPPES is 1001 Sneath Ln, San Bruno, CA 94066-2308.
- What is Keith Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Keith Sullivan is (650) 871-8645.
- Does Keith Sullivan accept Medicare?
- Keith Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Sullivan's NPI active?
- Yes — Keith Sullivan's NPI (1164823738) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.