Organization Active NPI

Sunny Physical Therapy LLC

  • Physical Therapist
  • Mohave Valley, AZ
National Provider Identifier
1124160734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUNNY PHYSICAL THERAPY LLC
Practice address
8450 Olive Ave
Mohave Valley, AZ 86440-9214
Phone
(928) 768-2507
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Julia S. Goodwin, MPTNPI 1508908120
Title
Executor
Phone
(928) 542-3233

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8450 Olive Ave
Mohave Valley, AZ 86440-9214

Mailing address

PO Box 5474
Mohave Valley, AZ 86446-5474
Phone (928) 542-3233

Other identifiers 1

IdentifierTypeStateIssuer
968919OtherAZAHCCCS ID NUMBER

National Provider Directory

National Provider Directory

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124160734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5474",
            "city": "MOHAVE VALLEY",
            "state": "AZ",
            "postal_code": "864465474",
            "telephone_number": "928-542-3233",
            "fax_number": "928-788-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 OLIVE AVE",
            "city": "MOHAVE VALLEY",
            "state": "AZ",
            "postal_code": "864409214",
            "telephone_number": "928-768-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "928-542-3233",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ID NUMBER",
            "identifier": "968919",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohave Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.