SCOTT SULLIVAN
NPI 1477070522
Physical Therapist in Lake Wylie, SC

Active since August 29, 2017Accepts Medicare Assignment
439 CHANNEL RD STE 102, LAKE WYLIE, SC 29710(803) 746-7800 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2025, Jan 15, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Scott Sullivan NPPES

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

SCOTT SULLIVAN (NPI 1477070522) is an individual physical therapist in Lake Wylie, South Carolina, licensed in South Carolina (12553) and active in the NPI registry since August 2017. He maintains 3 additional practice locations and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477070522
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSCOTT SULLIVAN
Location Address439 CHANNEL RD STE 102Lake Wylie, SC 29710-6101
Mailing AddressPo Box 412066Boston, MA 02241-2066 · (914) 294-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 29, 2017
Last NPPES UpdateFebruary 7, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1477070522 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
Licenses Licensed in SC · 12553 Licensed in NC · 20579
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 Therapist · OrthopedicTaxonomy 2251X0800X · License PTL.0015126 (CO)
439 CHANNEL RD STE 102, Lake Wylie, SC 29710

Secondary Practice Locations 3

Location 15320 Mark Dabling Blvd # 100Colorado Springs, CO 80918-3839 · Phone (719) 592-1584
Location 22322 S Academy BlvdColorado Springs, CO 80916-2406 · Phone (719) 390-1727
Location 32675 Court DrGastonia, NC 28054-1478 · Phone (704) 824-7800

Other Identifiers 1

Other20579NC · Professional License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Scott Sullivan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688114739
PECOS Enrollment IDI20240904003084

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
232 services46 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
190 services45 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
131 services39 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
40 services22 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710
Physical Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710
Physical Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710
Physical Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710
Physical Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710
Occupational Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710
Occupational Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710
Occupational Therapist
439 CHANNEL RD STE 102
LAKE WYLIE, SC 29710

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 Scott Sullivan's NPI number?

The NPI number for Scott Sullivan is 1477070522. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Scott Sullivan located?

Scott Sullivan practices at 439 Channel Rd Ste 102, Lake Wylie, SC 29710. The listed phone number is (803) 746-7800.

What is Scott Sullivan's specialty?

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

Is Scott Sullivan enrolled in Medicare?

Yes. Scott Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Sullivan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Scott 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 Scott Sullivan was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.