Mr Todd Michael Sullivan, MPT - Physical Therapist in Fort Wayne, IN

Mr Todd Michael Sullivan, MPT is a Physical Therapist based in Fort Wayne, Indiana. Mr Todd Michael Sullivan is licensed to practice in Indiana (license number 05008436A) and his current practice location is 7930 W Jefferson Blvd, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 432-5800.

NPI number for Mr Todd Michael Sullivan is 1003982711 and his current mailing address is 4251 Lahmeyer Rd, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003982711.

Contact Information

Mr Todd Michael Sullivan, MPT
7930 W Jefferson Blvd,
Fort Wayne, IN 46804-4140
(260) 432-5800
(260) 432-9555

Map and Direction




Healthcare Provider's Profile

Full NameMr Todd Michael Sullivan
GenderMale
SpecialityPhysical Therapist
Location7930 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003982711
  • Provider Enumeration Date: 11/27/2006
  • Last Update Date: 04/08/2010

Medical Identifiers

Medical identifiers for Mr Todd Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003982711NPI-NPPES
000000340405OtherINANTHEM BCBS
200349570AMedicaidIN
N282359OtherINHARMONY
1424OtherINPHP
4423623OtherINAETNA
35179001202OtherINCARESOURCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 05008436A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Todd Michael Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Todd Michael Sullivan, MPT
4251 Lahmeyer Rd,
Fort Wayne, IN 46815-5676

Ph: (260) 432-4700
Mr Todd Michael Sullivan, MPT
7930 W Jefferson Blvd,
Fort Wayne, IN 46804-4140

Ph: (260) 432-5800

Reviews and Comments


Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809
Phone: 260-747-2353    
Tia Schrader, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815
Phone: 260-432-4700    
Deborah Guebard, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805
Phone: 260-483-2100    
Mr. David L Kuhn, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809
Phone: 260-478-5230    Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845
Phone: 260-266-7400    Fax: 260-266-7439
Elaine Coleman Prouty,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818
Phone: 260-497-0328    

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