Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Sullivan, DPT

Individual provider Physical Therapist · NPI 1255759502

Kyle Sullivan, DPT is a Physical Therapist in Private Practice in South Lyon, Michigan. Qualified in 2013, 13 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

51635 10 Mile Rd
South Lyon, MI 48178-9720
Phone: (248) 278-1072
Fax: (248) 278-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501016664 (MI)

Record details

NPI number1255759502
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address33900 Harper Ave Ste 104, Clinton Township, MI 48035-4258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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