Myles Trent Sully, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P24173 Issued in NC

Practice address

10260 Main St
Fairfax, VA 22030-2404

Phone

(571) 279-6844

NPI assigned

Aug 9, 2022

Last updated

May 6, 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 DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PT Solutions LLC

  dba PT Solutions LLC of VA

  • Physical Therapist
  • McLean, VA
  • NPI 1679115646
  NPD
• PT Solutions, LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1730600016
  NPD
• PT Solutions, LLC

  • Physical Therapist
  • Wytheville, VA
  • NPI 1861946329
  NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1356079479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302404",
            "telephone_number": "571-279-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302404",
            "telephone_number": "571-279-6844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Copperfield Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252402",
            "country_code": "US",
            "telephone_number": "704-262-4181",
            "fax_number": "980-358-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLY",
        "first_name": "MYLES",
        "middle_name": "TRENT",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24173",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Keith Sullivan, FNP
• Leah Madeline Sullivan
• Linda S Sullivan, NP
• Lisa Ann Sullivan, NP
• Margaret Mary Sullivan, LCSW
• David Benjamin Summer, M.D.
• Anne E Summers, MD
• Carrie Summers, MS, CAGS, NCSP
• Joshua Summers, P.T.
• Summit Pediatric Rehab of No. VA, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.