Jake Sullivan, PT
NPI 1629637681 · Physical Therapist · Owensboro, KY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Sullivan, PT is a Physical Therapist provider in Owensboro, KY (NPI 1629637681).
Provider details
- NPI number
- 1629637681
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
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
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2200 E Parrish Ave Bldg COwensboro, KY 42303-1449Phone: (270) 240-4682
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2019-06-13
Frequently asked questions
- What is Jake Sullivan's NPI number?
- Jake Sullivan's National Provider Identifier (NPI) is 1629637681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Sullivan's specialty?
- Jake Sullivan is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jake Sullivan located?
- Jake Sullivan's practice location on file with NPPES is 2831 New Hartford Rd, Owensboro, KY 42303-1320.
- What is Jake Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jake Sullivan is (270) 926-4100.
- Does Jake Sullivan accept Medicare?
- Jake Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Sullivan's NPI active?
- Yes — Jake Sullivan's NPI (1629637681) is active in the NPPES registry as of the last update on 2019-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.