ELIZABETH ANNE SULLIVAN OT
NPI 1174171763
Occupational Therapist in South Bend, IN

Active since August 28, 2019
53880 CARMICHAEL DR, SOUTH BEND, IN 46635(574) 247-9441(574) 247-9442 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Anne Sullivan Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANNE SULLIVAN OT (NPI 1174171763) is an individual occupational therapist in South Bend, Indiana, licensed in Indiana (31006976A) and active in the NPI registry since August 2019. She maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1174171763
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELIZABETH ANNE SULLIVANCredential: OT
Location Address53880 CARMICHAEL DRSouth Bend, IN 46635-1567
Mailing Address53880 Carmichael DrSouth Bend, IN 46635-1567 · (574) 247-9441 · Fax (574) 247-9442
Fax(574) 247-9442
Sole ProprietorNo
Enumeration DateAugust 28, 2019
NPI 1174171763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IN · 31006976A
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
53880 CARMICHAEL DR, South Bend, IN 46635

Other Names 1

Former Name (1)Elizabeth Anne Casey

Secondary Practice Location 1

Location 160160 Bodnar BlvdMishawaka, IN 46544-9338 · Phone (574) 247-9441 · Fax (574) 247-9442

Other Identifiers 1

Other31006976AIN · Indiana Professional License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Sullivan's NPI number?

The NPI number for Elizabeth Sullivan is 1174171763. It was assigned to this individual provider in the NPPES registry on August 28, 2019. The provider is also known as Elizabeth Anne Casey.

Where is Elizabeth Sullivan located?

Elizabeth Sullivan practices at 53880 Carmichael Dr, South Bend, IN 46635. The listed phone number is (574) 247-9441.

What is Elizabeth Sullivan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Sullivan was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.