Individual provider Active NPI

Delaney Sullivan, DPT, PT

  • Physical Therapist
  • El Segundo, CA
National Provider Identifier
1730850074
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT307835 Issued in CA
Practice address
2041 Rosecrans Ave Ste 375
El Segundo, CA 90245-4796
Phone
(310) 643-9401
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT307835 CA Primary

Addresses

Primary practice location

2041 Rosecrans Ave Ste 375
El Segundo, CA 90245-4796

Mailing address

PO Box 1769
Middleburg, VA 20118-1769
Phone (703) 822-0039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, VA, MO, CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20211115000483 TX Practitioner - Physical Therapist in Private Practice 2163811001 Reassigns benefits to 1 organization
I20240328000051 DC Practitioner - Physical Therapist in Private Practice 2163811001 Reassigns benefits to 1 organization
I20240424004055 VA Practitioner - Physical Therapist in Private Practice 2163811001 Reassigns benefits to 1 organization
I20240803000423 MO Practitioner - Physical Therapist in Private Practice 2163811001 Reassigns benefits to 1 organization
I20250709002885 CA Practitioner - Physical Therapist in Private Practice 2163811001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians
Physical Therapy at Pukalani LLCGroup PAC ID 5890104301, 5 clinicians

Practice addresses (Care Compare)

2221 Wankel Way
Oxnard, CA 93030-0192
Phone (805) 988-9366

2335 Vista Way
Oceanside, CA 92054-5663
Phone (760) 547-2666

81 Makawao Ave
Suite 110
Makawao, HI 96768-8859
Phone (808) 572-2281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT307835CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boost Sports Performance, LLC CurrentSince Jul 8, 2024 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jul 29, 2025 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Dec 10, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Nov 3, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Nov 3, 2021 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Dec 10, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jul 29, 2025 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

431 N Escondido Blvd
Escondido, CA 92025
Phone (442) 248-5450

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

2335 Vista Way
Oceanside, CA 92054
Phone (760) 547-2666

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

790 Remington Blvd
Bolingbrook, IL 60440

17011 Bel Ray Blvd
Belton, MO 64012
Phone (816) 425-4523

2861 NE Independence Ave
Ste 104
Lees Summit, MO 64064
Phone (816) 272-8538

2105 Kara Ct
Ste 1-A
Liberty, MO 64068
Phone (816) 407-1249

470 Johnson Rd
Ste 100
Washington, PA 15301

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1013 W University Ave
Ste 335
Georgetown, TX 78628
Phone (512) 876-2111

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

6564 Loisdale Ct
Ste 500
Springfield, VA 22150
Phone (703) 232-7977

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1730850074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "703-822-0039",
            "fax_number": "703-822-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 ROSECRANS AVE STE 375",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454796",
            "telephone_number": "310-643-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DELANEY",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT307835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.