Individual provider Active NPI

Sydney Fallon Sunnerberg, DPT

  • Physical Therapist
  • Haverhill, MA
National Provider Identifier
1073231296
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26400 Issued in MA
Practice address
145 Ward Hill Ave
Haverhill, MA 01835-6928
Phone
(978) 372-8000
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26400 MA Primary

Addresses

Primary practice location

145 Ward Hill Ave
Haverhill, MA 01835-6928

Mailing address

280 Lions Mouth Rd
Amesbury, MA 01913-5318
Phone (978) 270-9748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209001097 MA Practitioner - Physical Medicine and Rehabilitation 4284006768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England Ear Nose and Throat/Facial Plastic Surgery PCGroup PAC ID 8921192691, 16 clinicians

Practice addresses (Care Compare)

198 Massachusetts Ave
Suite 103
North Andover, MA 01845-4143
Phone (978) 685-7550

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
69.3
Improvement activities
40
Cost
80.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26400MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Ear Nose & Throat/Facial Plastic Surgery,P.C. CurrentSince Nov 23, 2022 Accepting new patients

Locations

198 Massachusetts Ave
Ste 100
North Andover, MA 01845
Phone (978) 372-3893

198 Massachusetts Ave
North Andover, MA 01845
Phone (978) 685-7550

198 Massachusetts Ave
Ste 103
North Andover, MA 01845
Phone (978) 685-7550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6597/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sydney.sunnerberg.1@6597.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1073231296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 LIONS MOUTH RD",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019135318",
            "telephone_number": "978-270-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WARD HILL AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018356928",
            "telephone_number": "978-372-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNNERBERG",
        "first_name": "SYDNEY",
        "middle_name": "FALLON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.