Alexander Sullivan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14995 Issued in CT

Practice address

300 Wilson Ave BLDG B
Norwalk, CT 06854-4631

Phone

(212) 203-6802

NPI assigned

Aug 14, 2025

Last updated

Oct 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Clutch Physical Therapy PLLC

  • Physical Therapist
  • Norwalk, CT
  • NPI 1427923564
  NPD

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1679459671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 2ND AVE FRNT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285950",
            "telephone_number": "212-203-6802",
            "fax_number": "212-377-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILSON AVE BLDG B",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068544631",
            "telephone_number": "212-203-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Stuart
• Joseph Patrick Suarez, DDS
• Aaron Suh, DC
• Misook Suh
• Sharon Sharmila Devi Sukhdeo, MD
• Kiyoe Wu Sullivan, M.D., PH.D
• Meagan January Sullivan, APRN
• Seth Montgomery Sullivan, M.D.
• Anastasiia Sumenkova, MD
• Philip Martin Sundberg, MD

• Physical Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.