Svassama

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3833 Issued in AZ

Legal business name

SVASSAMA

Practice address

3101 Clearwater Dr
Suite D
Prescott, AZ 86305-7180

Phone

(928) 445-5639

Fax

(928) 442-0031

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Eric D Brummel, P.T.NPI 1801814066

Title

Owner

Phone

(928) 445-5639

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Dale Brummel, PT

  • Physical Therapist
  • Prescott, AZ
  • NPI 1801814066
  NPD (past) Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1083877070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13159",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863043159",
            "telephone_number": "928-445-5639",
            "fax_number": "928-442-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CLEARWATER DR",
            "address_2": "SUITE D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057180",
            "telephone_number": "928-445-5639",
            "fax_number": "928-442-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVASSAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BRUMMEL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-445-5639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "3833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554239",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0463420",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Hospice Inc
• Sunny Lee Nutrition, LLC
• Susan B Kullman LTD
• Conchita Dolores Sutherland, LMT
• Linda L Sutherland, LPC
• Barbara J Swain, PHD
• Ashley Swan
• Kimberly Ann Swanner, M.S., CCC-SLP
• Paul Swart
• Shannon Kim Sweeney, L.M.T

• Physical Therapy Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.