Active NPI
Sunshine Physical Therapy LLC
- Physical Therapist
- Cumming, GA
National Provider Identifier
1043020480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SUNSHINE PHYSICAL THERAPY LLC
- Practice address
- 2675 Benefield Rd
Cumming, GA 30041-1962 - Phone
- (510) 861-5172
- NPI assigned
- Jan 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Viswanatha Mukkamalla, P.T.
- Title
- Owner
- Phone
- (510) 861-5172
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2675 Benefield Rd
Cumming, GA 30041-1962
Mailing address
2675 Benefield Rd
Cumming, GA 30041-1962
Phone (510) 861-5172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8000 Avalon Blvd
Ste 100
Alpharetta, GA 30009
Phone (210) 379-8553
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742083200000",
"number": "1043020480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 BENEFIELD RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300411962",
"telephone_number": "510-861-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 BENEFIELD RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300411962",
"telephone_number": "510-861-5172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-08",
"last_updated": "2025-03-16",
"certification_date": "2025-03-16",
"status": "A",
"authorized_official_last_name": "MUKKAMALLA",
"authorized_official_first_name": "VISWANATHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-861-5172",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Laura Inman Sumpter, LCSW
- Hema Sundar, DMD
- Tharani Sundararajan, MD
- Nandini Sunkireddy, MD
- Sunshine Pediatrics of Georgia,LLC
- Super Stars Child Research and Development Center, Inc
- Super Supportive Teaching for Achieving Remarkable Success Inc
- Hannah Supik
- Mary Kathryn Suplita, MS, SLP
- Surgeon'S Choice Surgical Assisting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.