Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TODD MICHAEL SULLIVAN, MPT
ActiveMR. TODD MICHAEL SULLIVAN, MPT is a Physical Therapy Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1003982711 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1003982711
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2006 (19.697041370513 yrs)
- Last Updated
- Feb 17, 2025
- License
-
05008436A (IN)
Practice Information
- Address
-
3978 NEW VISION DRFORT WAYNE, IN, 468451712Browse IN providers · Browse ZIP 46845
- Phone
- 2603739318
- Fax
- 2603739301
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| PETER A PAONESSA | P.T. | 1013910934 |
| JASON HAZELETT | PT | 1346247681 |
| CHAD E PARENT | PT | 1306845797 |
| CYNTHIA C TOLL | PT | 1114926516 |
| JULIE HERMAN | P.T. | 1902805351 |
| CAROL S. BENNETT | P.T. | 1649279993 |
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.