Scott Sullivan
Physical Therapist · Lake Wylie, SC
Scott Sullivan is a physical therapist with a practice address in Lake Wylie, South Carolina, and NPI 1477070522, issued on Aug 29, 2017. Check the license (South Carolina 12553, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Scott Sullivan
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- 12553 SC
PTL.0015126 CO
20579 NC
Self-reported in NPPES; status is on the state search - Practice location
- 439 Channel RD Ste 102, Lake Wylie, SC 29710
- Phone
- (803) 746-7800
- Enumerated
- Aug 29, 2017
- Record last updated
- Feb 7, 2025
- Medicare enrollment
- Enrolled (PECOS I20240904003084); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 3,905 in South Carolina → Look up another NPI →
Also registered at 439 Channel RD Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hannah AnguishPhysical Therapist1003630450
- Melisia Bell, DPTPhysical Therapist1841490091
- Geneva Bolen, OTR/LOccupational Therapist1225270630
- Lauren Conway, DPTPhysical Therapist1417414590
- Austin Leforce, PTPhysical Therapist1902399124
- Thomas Mealing, DPTPhysical Therapist1003236308
Verify Scott Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 12553Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ivyrehab Focus, Inc.Lake Wylie, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Scott Sullivan among 3,905 physical therapist records in South Carolina
Scott Sullivan is one of 3,905 physical therapist records with a practice address in South Carolina. 38% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 55% of them.
- NPI issued2017 · 55% of these records are older, 41% newer
- In a Medicare fileYes · 38% of these records are
- In the CMS Doctors and Clinicians fileYes · 39% of these records are
- Graduated2017 · median 2017 among the 1,504 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
26 physical therapist records list a practice address in Lake Wylie
They are 26 of the 95 NPPES records with a practice address in Lake Wylie, and 3,905 physical therapist records in South Carolina.
All 3,905 in South Carolina → Every provider in Lake Wylie → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Melisia Bell, DPTLake Wylie, SC 297101841490091
- Richard Biggers, P.T.Lake Wylie, SC 297101114015914
- Susan DinlockerLake Wylie, SC 297101124308390
- Cheryl Foster, PTLake Wylie, SC 297101942439104
- Elizabeth Lundin, PT, DPTLake Wylie, SC 297101811240153
- Michelle Semidey, PTLake Wylie, SC 297101134386816
- Christina Shaffery, PTLake Wylie, SC 297101154619518
- Karen Shuler, PT, DPTClover, SC 297101346435948
Common questions
What is Scott Sullivan's NPI number?
Scott Sullivan's National Provider Identifier (NPI) is 1477070522, issued on Aug 29, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Scott Sullivan located?
The NPPES record lists a practice address at 439 Channel RD Ste 102, Lake Wylie, SC, 29710. Phone: (803) 746-7800. Providers update this record themselves, so call before visiting.
How can I verify Scott Sullivan's license?
NPPES lists South Carolina license number 12553, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.