Scott Sullivan is a Physical Therapist based in Boston, SC. Scott Sullivan practices in Lake Wylie, SC. The NPI Number for Scott Sullivan is 1477070522 and holds a License No. 20579 (South Carolina).
The current practice location address for Scott Sullivan is 439 Channel Rd Ste 102, Lake Wylie, SC and can be reached out via phone at 803-746-7800.
Location: 439 Channel Rd Ste 102, Lake Wylie, SC, 02241-2066
Provider Profile Details
NPI Number
1477070522
Provider Name
Scott Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
439 Channel Rd Ste 102, Lake Wylie, SC, 02241-2066
Phone Number
803-746-7800
Fax Number
Provider Enumeration Date
08/29/2017
Last Update Date
02/15/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20579 | 01 | NC | PROFESSIONAL LICENSE |
Provider Business Practice Location Address Details
Address
439 Channel Rd Ste 102
City
State
Zip
29710-6101
Phone Number
803-746-7800
Fax Number
Provider Business Mailing Address Details
Address
439 Channel Rd Ste 102
City
State
Zip
29710-6101
Phone Number
803-746-7800
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
-
Taxonomy
License No.
PTL.0015126 (Colorado)
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
20579 (North Carolina)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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