MR. JUSTIN LEE SULLIVAN I
NPI 1629957980
Massage Therapist in Gastonia, NC

Q: What is Justin Sullivan's NPI number?

The NPI number for Justin Sullivan is 1629957980. It was assigned to this individual provider in the NPPES registry on August 30, 2025.

Q: What is Justin Sullivan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Sullivan was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 30, 2025

1020 HOLLY HILLS DR, GASTONIA, NC 28052(704) 600-7223 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Justin Lee Sullivan I NPPES

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

MR. JUSTIN LEE SULLIVAN I (NPI 1629957980) is an individual massage therapist in Gastonia, North Carolina, licensed in North Carolina (16911) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1629957980

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. JUSTIN LEE SULLIVAN I

Location Address1020 HOLLY HILLS DRGastonia, NC 28052-9421

Mailing Address1020 Holly Hills DrGastonia, NC 28052-9421 · (704) 600-7223

Phone(704) 600-7223

Sole ProprietorYes

Enumeration DateAugust 30, 2025

NPPES CertifiedAugust 30, 2025

✔ NPI 1629957980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in NC · 16911

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

1020 HOLLY HILLS DR, Gastonia, NC 28052

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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

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 1629957980. It was assigned to this individual provider in the NPPES registry on August 30, 2025.

Where is Justin Sullivan located?

Justin Sullivan practices at 1020 Holly Hills Dr, Gastonia, NC 28052. The listed phone number is (704) 600-7223.

What is Justin Sullivan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Justin Sullivan was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.