Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles Blake Sullivan, DPT

Physical Therapist in Paducah, KY · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821562612

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Registry record

Entity type Individual (Type 1)

Name Charles Blake Sullivan

Credential DPT

Sex Male

Practice address 4645 Village Square Dr Ste A, Paducah, KY, 42001

Phone (270) 443-5712

Enumeration date Jan 15, 2019

Last updated in NPPES Jan 15, 2019

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 007479 (KY) Primary

DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession. About the DPT credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Charles Sullivan?

The National Provider Identifier (NPI) for Charles Sullivan is 1821562612, a Type 1 (individual) record in the CMS NPPES registry.

Where does Charles Sullivan practice?

The practice location on file with NPPES is in Paducah, KY. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-15.