Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin J Sullivan, PT

Individual provider Specialist · NPI 1548525090

Justin J Sullivan, PT is a Specialist in Wake Forest, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

123 Capcom Ave Ste 2
Wake Forest, NC 27587-6517
Phone: (919) 551-4142
Fax: (919) 694-6417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 843 Wake Forest Business Park, Wake Forest, NC 27587-6577 — (919) 570-7080

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence P13748 (NC)

Record details

NPI number1548525090
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

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