Kyle Sullivan (NPI# 1255759502, PAC ID# 9436382058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1255759502 |
| PAC ID by PECOS | 9436382058 |
| Professional Enrollment ID | I20140507000075 |
| Full Name | Kyle Sullivan |
| Organization Legal Name | TEAM REHABILITATION MH LLC |
| Address |
1433 E 12 Mile Rd Madison Heights MI 48071-2653 |
| Phone Number | 2486552110 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4880985084 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1433 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2486552110 | TEAM REHABILITATION MH LLC |
| Organization Legal Name | TEAM REHABILITATION MH LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy L Smiles | Physical Therapy | Team Rehabilitation Mh LLC | 1433 E 12 Mile Rd, Madison Heights, MI 48071-2653 |
| Nadia Dedonatis | Physical Therapy | Team Rehabilitation Mh LLC | 1433 E 12 Mile Rd, Madison Heights, MI 48071-2653 |
| Street Address |
1433 E 12 MILE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip | 48071-2653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy L Smiles | Physical Therapy | Team Rehabilitation Mh LLC | 1433 E 12 Mile Rd, Madison Heights, MI 48071-2653 |
| Nadia Dedonatis | Physical Therapy | Team Rehabilitation Mh LLC | 1433 E 12 Mile Rd, Madison Heights, MI 48071-2653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Altenburg | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Maria Schaefer | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brittni N Cruse | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brian A Jones | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Steven J Rabaut | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| William Bradley Bean | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Pamela Obare | Nurse Practitioner | City Medical PC | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 |
| Thomas John Petrou | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Alexander K Grossi | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Christopher E Wicks | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Find all physicians in zip 48071 | |||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MADISON HEIGHTS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kyle Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.