NPIMap

Organization Active NPI

Sunrise Physical Therapy, Inc.

  • Physical Therapist
  • Jeffersonville, VT
National Provider Identifier
1083651673
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400002460 Issued in VT
Legal business name
SUNRISE PHYSICAL THERAPY, INC.
Practice address
44 Lamoille View LN
Jeffersonville, VT 05464-4427
Phone
(802) 644-8011
Fax
(802) 644-8047
NPI assigned
Jun 1, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Mrs. Pamela Kondra Sills, P.T.NPI 1255373239
Title
Owner
Phone
(802) 644-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0400002460 VT Primary

Addresses

Primary practice location

44 Lamoille View LN
Jeffersonville, VT 05464-4427

Mailing address

44 Lamoille View LN
P.O. Box 103
Jeffersonville, VT 05464-4427
Phone (802) 644-8011

Other identifiers 1

IdentifierTypeStateIssuer
OVN3053MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1083651673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LAMOILLE VIEW LN",
            "address_2": "P.O. BOX 103",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054644427",
            "telephone_number": "802-644-8011",
            "fax_number": "802-644-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LAMOILLE VIEW LN",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054644427",
            "telephone_number": "802-644-8011",
            "fax_number": "802-644-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-644-8011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3053",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.