Active NPI
Sunny Physical Therapy LLC
- Physical Therapist
- Mohave Valley, AZ
National Provider Identifier
1124160734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julia S. Goodwin, MPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 968919 | Other | AZ | AHCCCS ID NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Mohave Valley, AZ
- NPI 1508908120
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.