Active NPI
Lori McCoy Sullivan, PT
- Physical Therapist
- Morehead City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P2269
- Practice address
- 534 N 35TH St
Morehead City, NC 28557-3182 - Phone
- (252) 726-1802
- Fax
- (252) 726-1805
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2269 | NC | |
| Physical Therapist | 225100000X | P2269 | NC | Primary |
Addresses
Primary practice location
534 N 35TH St
Morehead City, NC 28557-3182
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (252) 726-1802
Other practice location 1
534 North 35th Street Suite D
Morehead City, NC 28557
Phone (252) 726-1802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2269 | Other | NC | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
534 N 35TH St
Suite D
Morehead City, NC 28557-3184
Phone (252) 726-1802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2269 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
105 Professional Park Dr
Beaufort, NC 28516
Phone (252) 838-1204
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
3714 Guardian Ave
Ste E
Morehead City, NC 28557
Phone (252) 222-5862
534 N 35th St
Ste D
Morehead City, NC 28557
Phone (252) 222-5862
534 N 35th St
Morehead City, NC 28557
775 W Corbett Ave
Ste 2
Swansboro, NC 28584
Phone (252) 247-2101
Interoperability endpoints
- lori.sullivan.2@847.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1013128412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "252-726-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 N 35TH ST",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573182",
"telephone_number": "252-726-1802",
"fax_number": "252-726-1805"
}
],
"practiceLocations": [
{
"address_1": "534 North 35th Street Suite D",
"address_purpose": "LOCATION",
"city": "Morehead City",
"state": "NC",
"postal_code": "28557",
"country_code": "US",
"telephone_number": "252-726-1802",
"fax_number": "252-726-1805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LORI",
"middle_name": "MCCOY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "2269",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P2269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "P2269",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.