Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANE SULLIVAN
NPI 1184339699
Physical Therapist in Elon, NC

Active since January 18, 2023
505 BLAKEY HALL LN, ELON, NC 27244(336) 260-2361 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Jan 18, 2023 (2 updates tracked since 2023).

About Shane Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE SULLIVAN (NPI 1184339699) is an individual physical therapist in Elon, North Carolina, licensed in North Carolina (P21873) and active in the NPI registry since January 2023. He maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1184339699
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSHANE SULLIVAN
Location Address505 BLAKEY HALL LNElon, NC 27244-7966
Mailing Address1159 Pate Farm LnDurham, NC 27703-6813 · (336) 409-6320
Sole ProprietorYes
Enumeration DateJanuary 18, 2023
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1184339699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NC · P21873
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License P21873 (NC)
505 BLAKEY HALL LN, Elon, NC 27244

Secondary Practice Location 1

Location 14221 Garrett RdDurham, NC 27707-3467 · Phone (919) 937-9607

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Sullivan's NPI number?

The NPI number for Shane Sullivan is 1184339699. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Shane Sullivan located?

Shane Sullivan practices at 505 Blakey Hall Ln, Elon, NC 27244. The listed phone number is (336) 260-2361.

What is Shane Sullivan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

What insurance does Shane Sullivan accept?

Health plans from Blue Cross and Blue Shield of NC list Shane Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Sullivan was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.