Scott Sullivan
Physical Therapist · Lake Wylie, SC
At a glance
439 Channel Rd Ste 102, Lake Wylie, SC 29710-6101
NPPES record updated Feb 7, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
439 Channel Rd Ste 102Lake Wylie, SC 29710-6101
Additional reported practice locations
5320 Mark Dabling Blvd # 100Colorado Springs, CO 809183839
Phone: 7195921584 2322 S Academy Blvd
Colorado Springs, CO 809162406
Phone: 7193901727 2675 Court Dr
Gastonia, NC 280541478
Phone: 7048247800
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2017
- CMS specialties
- Physical Therapist In Private Practice
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physical Therapist
- Taxonomy code
- 225100000X
- Enumeration date
- Aug 29, 2017
- Record updated
- Feb 7, 2025
More registry details
- Provider type
- Individual · Type 1
Reported taxonomies and licenses
225100000X
License reported: 20579 NC
2251X0800X
License reported: PTL.0015126 CO
225100000X · Primary
License reported: 12553 SC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
439 Channel Rd Ste 102Lake Wylie, SC 29710-6101
- Phone
- (803) 746-7800
Mailing address
PO BOX 412066BOSTON, MA 022412066
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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