Individual provider Active NPI

Byron-Noel Valdez Sunga, PT

  • Physical Therapist
  • Renton, WA
National Provider Identifier
1174955785
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60953547 Issued in WA
Practice address
3514 Morris Ave S
Renton, WA 98055-5718
Phone
(206) 335-0558
NPI assigned
Aug 6, 2013
Last updated
Oct 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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 PT60953547 WA Primary

Addresses

Primary practice location

3514 Morris Ave S
Renton, WA 98055-5718

Mailing address

PO Box 59565
Renton, WA 98058-2565
Phone (206) 335-0558

Other practice location 1

34027 SE Indian Plum St
Snoqualmie, WA 98065-9496
Phone (888) 990-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624000534 WA Practitioner - Physical Therapist in Private Practice 4688908742 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

406 Baker Blvd
Suite 130
Tukwila, WA 98188-2972
Phone (206) 420-3816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60953547WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progression Physical Therapy, PLLC Physical Therapist CurrentSince Apr 19, 2022 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 6, 2020 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Advance Physical Therapy Inc Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

15623 1st Ave S
Ste C
Burien, WA 98148
Phone (206) 444-6320

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

406 Baker Blvd
Ste 130
Tukwila, WA 98188
Phone (206) 420-3816

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1174955785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59565",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980582565",
            "telephone_number": "206-335-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MORRIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555718",
            "telephone_number": "206-335-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34027 SE Indian Plum St",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "980659496",
            "country_code": "US",
            "telephone_number": "888-990-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNGA",
        "first_name": "BYRON-NOEL",
        "middle_name": "VALDEZ",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60953547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.