Jill McGee Sullivan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006509 Issued in GA

Practice address

1115 Lake Dr
Roswell, GA 30075-3419

Phone

(404) 936-2215

NPI assigned

Dec 13, 2006

Last updated

Jun 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Ga, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1023544624
  Medicare reassignment NPD
• Weept, LLC

  • Pediatric Physical Therapist
  • Roswell, GA
  • NPI 1619859584
  NPD Authorized official
• Atlanta Pediatric Therapy, Inc.

  • Early Intervention Provider Agency
  • Chamblee, GA
  • NPI 1578622593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1598826273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 LAKE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753419",
            "telephone_number": "404-936-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LAKE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753419",
            "telephone_number": "404-936-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JILL",
        "middle_name": "MCGEE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000845292H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas J. Sudano, D.C.
• Benjamin Suh, PT, DPT
• SE Young Suh, M.D.
• Suitable Nutrition, LLC
• Ted Sukhdeo, PHARMD
• Kayla Sullivan
• Summit Autism Center
• Summit Healthcare Center LLC
• Summit Wellness Group, Inc
• Bailey Sumner

• Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.