DR. ETHAN M SULLIVAN DPT
NPI 1548980659
Physical Therapist - Orthopedic in Oakwood, OH

Q: What is Ethan Sullivan's NPI number?

The NPI number for Ethan Sullivan is 1548980659. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Q: What is Ethan Sullivan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Sullivan was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 30, 2022

2306 FAR HILLS AVE, OAKWOOD, OH 45419(937) 422-2600 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ethan M Sullivan Dpt NPPES

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

DR. ETHAN M SULLIVAN DPT (NPI 1548980659) is an individual orthopedic provider in Oakwood, Ohio, licensed in Ohio (019782) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1548980659

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameDR. ETHAN M SULLIVANCredential: DPT

Location Address2306 FAR HILLS AVEOakwood, OH 45419-1512

Mailing Address2306 Far Hills AveOakwood, OH 45419-1512 · (937) 422-2600

Phone(937) 422-2600

Sole ProprietorYes

Enumeration DateAugust 30, 2022

NPPES CertifiedAugust 30, 2022

✔ NPI 1548980659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in OH · 019782

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

2306 FAR HILLS AVE, Oakwood, OH 45419

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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 Ethan Sullivan's NPI number?

The NPI number for Ethan Sullivan is 1548980659. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Ethan Sullivan located?

Ethan Sullivan practices at 2306 Far Hills Ave, Oakwood, OH 45419. The listed phone number is (937) 422-2600.

What is Ethan Sullivan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Ethan Sullivan was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.