William A Sullivan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215020 Issued in VA

Practice address

2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614

Phone

(757) 364-0067

Fax

(757) 416-7777

NPI assigned

May 24, 2022

Last updated

Apr 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC, DC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Thrive Proactive HealthGroup PAC ID 6800179490, 5 clinicians

Coastal Rehabilitation IncGroup PAC ID 9537071535, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.99 of 100Reported as group

Quality

66.22

Improvement activities

40

Cost

55.03

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22599/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/22675/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment Care Compare group NPD
• Thrive Proactive Health

  • Sports Physical Therapist
  • Virginia Beach, VA
  • NPI 1710345293
  Medicare reassignment Care Compare group NPD
• Coastal Rehabilitation Inc

  • Physical Therapist
  • Elizabeth City, NC
  • NPI 1457418311
  Medicare reassignment Care Compare group NPD
• The Therapy Network Inc

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1760467021
  Medicare reassignment NPD
• Virginia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1235720848

  DC

  Medicare reassignment NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD (past)
• Coastal Rehabilitation Inc

  • Physical Therapist
  • Manteo, NC
  • NPI 1346466430
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1053059642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N GREAT NECK RD # 1272-182",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542268",
            "telephone_number": "757-364-0067",
            "fax_number": "757-416-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527614",
            "telephone_number": "757-364-0067",
            "fax_number": "757-416-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Burnetts Way Ste 230",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348168",
            "country_code": "US",
            "telephone_number": "757-942-2022",
            "fax_number": "757-512-8997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP026249T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sullivan, RBT
• Jamie L Sullivan, DC
• Karen Ann Sullivan, MD
• Robert W Sullivan, DPM
• Tatiana Sullivan, MEDICAL INTERPRETER
• Sully's Run Equine Services, LLC
• Trae'Vis Sumler
• Jasmine Summerlin
• Michael Alexander Sumner, D.O.
• Quazion Sumner

• Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.