Individual provider Active NPI

Christopher Michael Sullivan, PT

  • Physical Medicine & Rehabilitation Physician
  • Huber Heights, OH
National Provider Identifier
1811270507
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT.013466 Issued in OH
Practice address
8412 Old Troy Pike
Huber Heights, OH 45424-1030
Phone
(937) 235-0068
Fax
(937) 235-1442
NPI assigned
Sep 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT.013466 OH Primary

Addresses

Primary practice location

8412 Old Troy Pike
Huber Heights, OH 45424-1030

Mailing address

2455 Brown Bark Dr
Beavercreek, OH 45431-2618
Phone (937) 605-5978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725002487 OH Practitioner - Physical Therapist in Private Practice 0042567851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

3148 A W Central Ave
Toledo, OH 43606-2920

7109 Hamilton Mason Rd
Suite a
West Chester, OH 45069-1784
Phone (513) 759-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.013466OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2018 Accepting new patients
Novacare Rehabilitation of Ohio Inc CurrentSince May 6, 2021 Accepting new patients
Professional Therapeutic Services, Inc. CurrentSince Jun 22, 2018 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2018 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince May 6, 2021 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Professional Therapeutic Services Inc Past Accepting new patients

Locations

8412 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 235-0068

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

286 N Main St
Monroe, OH 45050
Phone (513) 539-3488

125 Bridge St
Ste 100
Piqua, OH 45356
Phone (937) 615-2120

1303 W 1st St
Springfield, OH 45504
Phone (847) 485-3481

3148 W Central Ave
Ste A
Toledo, OH 43606
Phone (419) 531-2690

7109 Hamilton Mason Rd
Ste A
West Chester, OH 45069
Phone (513) 759-6494

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1811270507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 BROWN BARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312618",
            "telephone_number": "937-605-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241030",
            "telephone_number": "937-235-0068",
            "fax_number": "937-235-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PT.013466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.