Active NPI
Heather Sudlow, D.P.T.
- Physical Therapist
- Ambler, PA
National Provider Identifier
1053602284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016343
- Practice address
- 250 N Bethlehem Pike
Ambler, PA 19002-3524 - Phone
- (215) 643-6333
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016343 | PA | Primary |
Addresses
Primary practice location
250 N Bethlehem Pike
Ambler, PA 19002-3524
Mailing address
199 Morris Rd
Ambler, PA 19002-5251
Phone (267) 735-7108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016343 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1053602284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 MORRIS RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190025251",
"telephone_number": "267-735-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N BETHLEHEM PIKE",
"city": "AMBLER",
"state": "PA",
"postal_code": "190023524",
"telephone_number": "215-643-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDLOW",
"first_name": "HEATHER",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.