RYAN JAMES SULLIVAN
NPI 1902731417
Physical Therapist in Southport, NC

Active since June 16, 2026
1517 N HOWE ST, SOUTHPORT, NC 28461(910) 332-3828 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ryan James Sullivan NPPES

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

RYAN JAMES SULLIVAN (NPI 1902731417) is an individual physical therapist in Southport, North Carolina, licensed in North Carolina (P25166) and active in the NPI registry since June 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1902731417
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRYAN JAMES SULLIVAN
Location Address1517 N HOWE STSouthport, NC 28461-2772
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (910) 332-3800 · Fax (910) 251-0421
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 16, 2026
Last NPPES UpdateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1902731417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NC · P25166
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.
1517 N HOWE ST, Southport, NC 28461

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan James Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789143249
PECOS Enrollment IDI20260825002901

Medicare Billing Reassignment

Medicare enrollment records show Ryan Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
120 WILLIAM PENN PLZ
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 367 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Pulmonary Disease)
1517 N HOWE ST, SUITE 12
SOUTHPORT, NC 28461
Physical Therapist
1517 N HOWE ST
SOUTHPORT, NC 28461
Physical Therapist
1517 N HOWE ST
SOUTHPORT, NC 28461
Physical Therapist
1517 N HOWE ST, SUITE 4
SOUTHPORT, NC 28461
Physical Therapist
1517 N HOWE ST
SOUTHPORT, NC 28461
Physical Therapist
1517 N HOWE ST
SOUTHPORT, NC 28461
Physical Therapy Assistant
1517 N HOWE ST
SOUTHPORT, NC 28461
Physical Therapist (Orthopedic)
1517 N HOWE ST
SOUTHPORT, NC 28461

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 Ryan Sullivan's NPI number?

The NPI number for Ryan Sullivan is 1902731417. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Ryan Sullivan located?

Ryan Sullivan practices at 1517 N Howe St, Southport, NC 28461. The listed phone number is (910) 332-3828.

What is Ryan Sullivan's specialty?

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

Is Ryan Sullivan enrolled in Medicare?

Yes. Ryan Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Sullivan reassigns Medicare benefits to Emergeortho PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Sullivan accept?

Health plans from Blue Cross and Blue Shield of NC list Ryan 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 Ryan Sullivan was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.