Theresa O'Sullivan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18995 Issued in NC

Practice address

6752 Parker Farm Dr Ste 1B
Wilmington, NC 28405-3175

Phone

(910) 679-4095

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeforce Physical Therapy and Wellness CorpGroup PAC ID 1456507730, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Lifeforce Physical Therapy and Wellness, Corp.

  • Physical Therapy Clinic/Center
  • Wilmington, NC
  • NPI 1386917896

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1376197269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 PARKER FARM DR STE 1B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053175",
            "telephone_number": "910-679-4095",
            "fax_number": "910-338-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 PARKER FARM DR STE 1B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053175",
            "telephone_number": "910-679-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laken Bevins O'Quinn, MD
• Payton Charlie O'Quinn, MD
• Eric Aodh O'Reilly, MD
• James Ryan O'Reilly, PA-C
• Deborah Paige O'Shields
• Oaces Community Health Care
• Oasis NC
• Kristy Aswell Oates, PHARM.D.
• Laura Obermeyer, C.R.N.A.
• Obstetrix Medical Group of Coastal Carolina PLLC

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.