Individual provider · Type 1 NPI

Shane Sullivan

Physical Therapist · Elon, NC

NPI number 1184339699 Active

Practice location

505 Blakey Hall Ln
Elon, NC 27244-7966

Mailing address

1159 Pate Farm Ln
Durham, NC 27703-6813

Other practice locations

  • 4221 Garrett Rd, Durham, NC 27707-3467 · (919) 937-9607

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XP21873 (NC)
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010XP21873 (NC)

Physical Therapist: 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, r…

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About NPI 1184339699

Shane Sullivan's National Provider Identifier is 1184339699, issued on Jan 18, 2023. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Elon, NC. The record was last updated on Aug 19, 2026.