DR. KACY ANN SULAVIK (PT, DPT) – Physical Therapist, NPI 1154978112

DR. KACY ANN SULAVIK (PT, DPT) is a healthcare provider. based in Lansing, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501019304 (MI). The NPI Number for DR. KACY ANN SULAVIK (PT, DPT) is 1154978112

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KACY ANN SULAVIK (PT, DPT)
NPI
1154978112
Phone
(517) 336-6060
Address
137 S MARKETPLACE BLVD
Enumeration Date
23 August 2019
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173366060
Graduation Year
2019 (7 years ago)
PAC ID
4688904535
Group Practice PAC ID
9133370430
Professional Enrollment ID
I20190919002026
Address ID
MI488549425MA3181XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. KACY ANN SULAVIK (PT, DPT)

  • 137 S MARKETPLACE BLVD

    LANSING, MI 489177756

    Phone: (517) 336-6060

    Fax: (517) 336-6050

    Type: Location

  • Sandhill Road, Point Pleasant, Mason County, West Virginia, 25550, United States

    MASON, MI 488549425

    Phone: (517) 336-6060

    Fax: (517) 336-6050

    Type: Location

  • 167, Campbell Street, Pigeon, Winsor Township, Huron County, Michigan, 48755, United States

    PIGEON, MI 487555163

    Phone: (989) 963-0748

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190919002026IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48917)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133370430View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
Clinical Social WorkerMI
Qualified Speech Language PathologistMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Clinical Social WorkerMI
Qualified Speech Language PathologistMI
Occupational Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What NPI should I save for DR. KACY ANN SULAVIK (PT, DPT)?
Save NPI 1154978112 if you need a stable reference for DR. KACY ANN SULAVIK (PT, DPT).
Does this profile mean DR. KACY ANN SULAVIK (PT, DPT) is currently active?
Yes — DR. KACY ANN SULAVIK (PT, DPT) appears active in the national provider directory.
What field does DR. KACY ANN SULAVIK (PT, DPT) work in?
You can think of DR. KACY ANN SULAVIK (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DR. KACY ANN SULAVIK (PT, DPT)'s primary listing?
We display Lansing, Michigan because that is what the record indicates for DR. KACY ANN SULAVIK (PT, DPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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