Robert David Sumner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010199 Issued in WA

Practice address

555 S Main St
Colville, WA 99114-2517

Phone

(509) 690-7620

Fax

(509) 684-5081

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sumner Specialized Physical Therapy PLLCGroup PAC ID 4385919091, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sumner Specialized Physical Therapy, PLLC

  • Physical Therapist
  • Colville, WA
  • NPI 1457878035
  Medicare reassignment Care Compare group NPD Authorized official
• Chewelah Orthopedic & Sports Physical Therapy Inc.

  • Physical Therapist
  • Chewelah, WA
  • NPI 1235353368
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1184634560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142517",
            "telephone_number": "509-690-7620",
            "fax_number": "509-684-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142517",
            "telephone_number": "509-690-7620",
            "fax_number": "509-684-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizanne Stolworthy, M. ED., LMHC, DMHP
• Kathleen Stone, RN
• James A Stryd
• Ashley Sullivan
• Sumner Specialized Physical Therapy, PLLC
• Gratian Sutton
• Kyle P Swanson
• Brooke S Tabacco
• Danielle Farrah Tanner
• Charles W Taylor, CNA

• Physical Therapist in Colville, WA
• Providers in Colville, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.