DR. ETHAN M SULLIVAN DPT NPI 1548980659

NPI Information

  • NPI: 1548980659
  • Provider Name: DR. ETHAN M SULLIVAN, DPT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 2306 FAR HILLS AVE
    OAKWOOD, OH
    ZIP 45419
  • Phone: (937) 422-2600

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NPI Details

DR. Ethan M Sullivan, DPT is an orthopedic physical therapist in Oakwood, OH. The provider is 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. DR. Ethan M Sullivan, DPT NPI is 1548980659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2306 FAR HILLS AVE
OAKWOOD, OH
ZIP 45419-512
Phone: (937) 422-2600

The enumeration date for this NPI number is 8/30/2022 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedic019782OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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