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

Michelle Sullivan, MSPT

Individual provider Physical Therapist · NPI 1376727909

Michelle Sullivan, MSPT is a Physical Therapist in Private Practice in Southern Pines, North Carolina. Graduated from University of Colorado School of Medicine, Denver in 1995, 31 years ago. Practices with Mcpc-12 LLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine and North Carolina.

Years since qualifying
31
Trained at
University of Colorado School of Medicine, Denver
Licensed in
ME, NC
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

292 Commerce Ave
Southern Pines, NC 28387-7059
Phone: (910) 757-0408
Fax: (910) 757-0413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4002 Executive Park Blvd Ste 800, Southport, NC 28461-9069 — (910) 477-6236

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P19629 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT2584 (ME)
Physical Therapist Taxonomy 225100000X · Licence 218905 (ME)

Record details

NPI number1376727909
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedDecember 18, 2007
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 1995 (31 years in practice)
Group practice McPc-12 Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Southern Pines