Elizabeth Sullivan, OT
NPI 1174171763 · Occupational Therapist · South Bend, IN
Elizabeth Sullivan, OT is a Occupational Therapist provider in South Bend, IN (NPI 1174171763).
Provider details
- NPI number
- 1174171763
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 31006976A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 60160 Bodnar BlvdMishawaka, IN 46544-9338Phone: (574) 247-9441Fax: (574) 247-9442
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Frequently asked questions
- What is Elizabeth Sullivan's NPI number?
- Elizabeth Sullivan's National Provider Identifier (NPI) is 1174171763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Sullivan's specialty?
- Elizabeth Sullivan is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Elizabeth Sullivan located?
- Elizabeth Sullivan's practice location on file with NPPES is 53880 Carmichael Dr, South Bend, IN 46635-1567.
- What is Elizabeth Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Sullivan is (574) 247-9441.
- Is Elizabeth Sullivan's NPI active?
- Yes — Elizabeth Sullivan's NPI (1174171763) is active in the NPPES registry as of the last update on 2019-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.