Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. TODD MICHAEL SULLIVAN
Active
Individual
MR. TODD MICHAEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008436A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340405
ANTHEM BCBS
IN
01
—
1424
PHP
IN
05
—
200349570A
—
IN
01
—
35179001202
CARESOURCE
IN
01
—
4423623
AETNA
IN
01
—
N282359
HARMONY
IN
Enumeration date
11/27/2006
Last updated
02/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up