Jerry Sullivan, ATC
NPI 1306909551 · Athletic Trainer · Springfield, IL
Jerry Sullivan, ATC is a Athletic Trainer provider in Springfield, IL (NPI 1306909551).
Provider details
- NPI number
- 1306909551
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
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
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2006-12-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Sullivan's NPI number?
- Jerry Sullivan's National Provider Identifier (NPI) is 1306909551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Sullivan's specialty?
- Jerry Sullivan is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jerry Sullivan located?
- Jerry Sullivan's practice location on file with NPPES is 3631 S. Sixth Street, Springfield, IL 62703.
- What is Jerry Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jerry Sullivan is (217) 341-4955.
- Is Jerry Sullivan's NPI active?
- Yes — Jerry Sullivan's NPI (1306909551) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.