KYLE SULLIVAN (NPI# 1255759502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255759502 |
| Entity Type | Individual |
| Full Name | KYLE SULLIVAN |
| Practice Address |
1433 E Twelve Mile Road Madison Heights MI 48071 |
| Mailing Address |
33900 Harper Ave Suite 104 Clinton Township MI 48035 |
| Practice Telephone | 2486582110 |
| Practice Fax Number | 2486582111 |
| Mailing Telephone | (586) 416-9100 |
| Mailing Fax Number | 5864169103 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501016664 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16000 Southfield Rd, Allen Park, MI 481012563 | 3133598867 | 3133598868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444342 | Kyle Sullivan | Physician Assistant | 103 Progress Dr Ste 300, Doylestown, PA 18901-2511 | 2019-12-17 |
| 1952964033 | Kyle Sullivan | Student in an Organized Health Care Education/Training Program | 8300 Floyd Curl Dr, San Antonio, TX 78229-3931 | 2019-04-15 |
| 1962862474 | Kyle David Sullivan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-02-25 |
| 1083035877 | Kyle Sullivan | Specialist/Technologist, Other | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2013-12-20 |
| 1982905105 | Kyle Robert Sullivan | Counselor | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2010-11-04 |
| 1669661641 | Kyle Patrick Sullivan | Orthotist | 4479 Stoneridge Dr, Suite A, Pleasanton, CA 94588-8448 | 2007-10-16 |
| 1962558106 | Kyle Sullivan | Dentist | 121 W Poplar St, Ste A, Walla Walla, WA 99362-2871 | 2007-01-27 |
| Street Address |
1433 E TWELVE MILE ROAD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093812950 | Tracy L. Smiles | Physical Therapist | 1433 E Twelve Mile Road, Madison Heights, MI 48071 | 2006-09-20 |
| 1316300924 | Team Rehabilitation Mh, LLC | Physical Therapist | 1433 E Twelve Mile Road, Madison Heights, MI 48071 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544556 | Spotlight Health & Wellness | Physical Therapist | 31470 Harlo Dr, Madison Heights, MI 48071-1945 | 2020-09-30 |
| 1881166148 | Kristin Brown | Physical Therapist | 1433 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2018-12-27 |
| 1669955308 | Krupal D Patel | Physical Therapist | 31800 Concord Dr Apt H, Madison Heights, MI 48071-1753 | 2018-09-10 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1801376199 | Tyler France | Physical Therapist | 118 Oakwood Dr Ste B, Madison Heights, VA 24572-3001 | 2018-08-16 |
| 1477050664 | Jimmy Koshy | Physical Therapist | 1605 E 13 Mile Rd Apt 104, Madison Heights, MI 48071-5018 | 2018-04-12 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1144672502 | Total Comfort Physical Therapy Inc | Physical Therapist | 548 E 11 Mile Rd, Madison Heights, MI 48071-3702 | 2016-07-11 |
| 1649627076 | Khushbooben Viras | Physical Therapist | 30250 John Rd, Madison Heights, MI 48071 | 2016-05-16 |
| 1518365154 | Sreekanth Gayam | Physical Therapist | 31400 Harlo Dr, Apt # D, Madison Heights, MI 48071-1980 | 2014-12-14 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.