Kacy Ann Sulavik, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019304 Issued in MI

Practice address

137 S Marketplace Blvd
Lansing, MI 48917-7756

Phone

(517) 336-6060

Fax

(517) 336-6050

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Rehabilitation Alliance IncGroup PAC ID 9133370430, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Rehabilitation Alliance, Inc.

  • Physical Therapist
  • Mason, MI
  • NPI 1528015336
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1154978112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CAMPBELL ST",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487555163",
            "telephone_number": "989-963-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S MARKETPLACE BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489177756",
            "telephone_number": "517-336-6060",
            "fax_number": "517-336-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULAVIK",
        "first_name": "KACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saeed Basheer Sufyan, PA
• H Arthur Sugarman, R.PH.
• Krysten Sugden, LMSW
• Susan Kay Sugden, NP
• Joowon Suh, DDS
• Duaa Suliman, MD
• John Christopher Sullivan, LPC
• Lauren Sullivan, CSW
• Shawn Marie Sullivan, ARNP
• Fatima Sultan, MD

• Physical Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.