Shane Sullivan, - Physical Therapist in Elon, NC

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Shane Sullivan, is a Physical Therapist physician based in Elon, North Carolina. Shane Sullivan is licensed to practice in North Carolina (license number P21873) and his current practice location is 505 Blakey Hall Ln, Elon, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 260-2361.

NPI number for Shane Sullivan is 1184339699 and his current mailing address is 1159 Pate Farm Ln, Durham, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184339699.

Contact Information

Shane Sullivan,
505 Blakey Hall Ln,
Elon, NC 27244-7966
(336) 260-2361
Not Available

Map and Direction




Physician's Profile

Full NameShane Sullivan
GenderMale
SpecialityPhysical Therapist
Location505 Blakey Hall Ln, Elon, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184339699
  • Provider Enumeration Date: 01/18/2023
  • Last Update Date: 08/19/2026

Medical Identifiers

Medical identifiers for Shane Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184339699NPI-NPPES
NAOtherNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine P21873 (North Carolina)Secondary
225100000XPhysical Therapist P21873 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shane Sullivan,
1159 Pate Farm Ln,
Durham, NC 27703-6813

Ph: (336) 409-6320		Shane Sullivan,
505 Blakey Hall Ln,
Elon, NC 27244-7966

Ph: (336) 260-2361

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.