Mark Christopher Sulavik Jr., PT, DPT, AT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019284 Issued in MI

Practice address

6333 White Swan LN
Ann Arbor, MI 48108-9571

Phone

(734) 649-5657

NPI assigned

Mar 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1376936484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 WHITE SWAN LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089571",
            "telephone_number": "734-649-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WHITE SWAN LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089571",
            "telephone_number": "734-649-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULAVIK",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_suffix": "Jr.",
        "credential": "PT, DPT, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019284",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasser Sukhon, MD
• Hadeel A Sukkar
• Lilana Sukkari
• Nidhi Sukul, M.D.
• Abdulbaset M Sulaiman, MD
• Noor Suleiman
• Laura Ann Sulfaro, LPC
• Mohamad Sulieman, DO
• Sarah Alyse Sulka, PHARMD
• Hillary Lynne Sullins Adland, LMSW

• Physical Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.