Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Myles Trent Sully, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1356079479

Myles Trent Sully, PT, DPT, CSCS is a Physical Therapist in Fairfax, Virginia. Works from 2 locations. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10260 Main St
Fairfax, VA 22030-2404
Phone: (571) 279-6844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 354 Copperfield Blvd Ne, Concord, NC 28025-2402 — (704) 262-4181

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24173 (NC)
Physical Therapist Taxonomy 225100000X · Licence 2305215227 (VA)

Record details

NPI number1356079479
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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