Myles Sully, PT, DPT, CSCS
NPI 1356079479 · Physical Therapist · Fairfax, VA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Myles Sully, PT, DPT, CSCS is a Physical Therapist provider in Fairfax, VA (NPI 1356079479).
Provider details
- NPI number
- 1356079479
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- P24173 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
375 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 139 | $39 |
| Therapy Procedure in a Group Setting97150 | 101 | $15 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 94 | $27 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 41 | $24 |
Typical Medicare-allowed amounts for these services range $15–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 354 Copperfield Blvd NeConcord, NC 28025-2402Phone: (704) 262-4181Fax: (980) 358-2559
Registry dates
- Enumerated
- 2022-08-09
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Myles Sully's NPI number?
- Myles Sully's National Provider Identifier (NPI) is 1356079479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Myles Sully's specialty?
- Myles Sully is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Myles Sully located?
- Myles Sully's practice location on file with NPPES is 10260 Main St, Fairfax, VA 22030-2404.
- What is Myles Sully's phone number?
- The practice phone number listed in the NPPES registry for Myles Sully is (571) 279-6844.
- Does Myles Sully accept Medicare?
- Myles Sully is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Myles Sully's NPI active?
- Yes — Myles Sully's NPI (1356079479) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.