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JUSTIN J SULLIVAN PT
NPI 1548525090
Specialist in Wake Forest, NC

Active since July 11, 2012
123 CAPCOM AVE STE 2, WAKE FOREST, NC 27587(919) 551-4142(919) 694-6417 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 3, 2021, Aug 22, 2018 (2 updates tracked since 2018).

About Justin J Sullivan Pt NPPES

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

JUSTIN J SULLIVAN PT (NPI 1548525090) is an individual specialist in Wake Forest, North Carolina, licensed in North Carolina (P13748) and active in the NPI registry since July 2012. He maintains a secondary practice location in Wake Forest.

NPPES Registry Identity

NPI1548525090
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJUSTIN J SULLIVANCredential: PT
Location Address123 CAPCOM AVE STE 2Wake Forest, NC 27587-6517
Mailing Address1333 Litchborough WayWake Forest, NC 27587-3612 · (191) 955-1414 · Fax (919) 694-9417
Phone(919) 551-4142
Fax(919) 694-6417
Sole ProprietorNo
Enumeration DateJuly 11, 2012
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1548525090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · P13748
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
123 CAPCOM AVE STE 2, Wake Forest, NC 27587
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Secondary Practice Location 1

Location 1843 Wake Forest Business Park, Suite 110Wake Forest, NC 27587-6577 · Phone (919) 570-7080 · Fax (919) 570-7071

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 3

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

MR. GUSTAVO VIDAL PT
Specialist
123 CAPCOM AVE STE 2
WAKE FOREST, NC 27587
Wake County (919) 551-4142
CRAIG WINKELMANN, DDS, PLLC
Clinic/Center (Dental)
123 CAPCOM AVE STE 2
WAKE FOREST, NC 27587
Wake County (919) 570-9100
JAMIE MICHELE BAFARO PT
Physical Therapist
123 CAPCOM AVE STE 2
WAKE FOREST, NC 27587
Wake County (919) 551-4142

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 Justin Sullivan's NPI number?

The NPI number for Justin Sullivan is 1548525090. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Justin Sullivan located?

Justin Sullivan practices at 123 Capcom Ave Ste 2, Wake Forest, NC 27587. The listed phone number is (919) 551-4142.

What is Justin Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Justin Sullivan accept?

Health plans from Blue Cross and Blue Shield of NC list Justin 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 Justin Sullivan was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.