Kyle Sullivan, DPT
NPI 1255759502 · Physical Therapist · South Lyon, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1255759502
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501016664 (MI)
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 tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,865 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 638 | $25 |
| Therapy Procedure Using Functional Activities97530 | 519 | $31 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 354 | $20 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 256 | $21 |
| Therapy Procedure in a Group Setting97150 | 51 | $13 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 24 | $24 |
Practice location
Mailing address
Additional practice locations (3)
- 16000 Southfield RdAllen Park, MI 48101-2563Phone: (313) 359-8867Fax: (313) 359-8868
- 1433 E Twelve Mile RoadMadison Heights, MI 48071Phone: (248) 658-2110Fax: (248) 658-2111
- 1467 E 12 Mile RdMadison Heights, MI 48071-2653Phone: (248) 658-2110
Registry dates
- Enumerated
- 2014-04-03
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.