Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYLES TRENT SULLY, PT, DPT, CSCS
ActiveMYLES TRENT SULLY, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1356079479 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAIRFAX, VA
Registration Details
- NPI Number
- 1356079479
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2022 (3.976337880121 yrs)
- Last Updated
- Aug 9, 2022
- License
-
2305215227 (VA)
Practice Information
- Address
-
10260 MAIN STFAIRFAX, VA, 220302404Browse VA providers · Browse ZIP 22030
- Phone
- 5712796844
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| VANESSA MARIE HODGE | DPT, PT | 1780683946 |
| KRISTEN LOFTUS RINALDI | PT | 1942209101 |
| JENNIFER ANN QUINTANILLA | PT | 1396744355 |
| JEANNE HARDMON | PT | 1235138298 |
| KATHLEEN BEIGHT | PT | 1013916162 |
| CHARUTA MOHARIR | PT | 1194724252 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.