Individual provider Active NPI

Lori McCoy Sullivan, PT

  • Physical Therapist
  • Morehead City, NC
National Provider Identifier
1013128412
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P2269 Issued in NC
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

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P2269OtherNCPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828001018 NC Practitioner - Physical Therapist in Private Practice 1153413604 Reassigns benefits to 1 organization

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
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

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

LicenseStateTypeSpecialty
2269NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jan 13, 2025 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Breakthrough Physical Therapy Physical Therapist PastSince Sep 1, 2018 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.