Individual provider Active NPI

Mabel Sunio Cunanan, PT

  • Physical Therapist
  • Port Charlotte, FL
National Provider Identifier
1235155771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 9925 Issued in FL
Practice address
20101 Peachland Blvd
Ste. 204
Port Charlotte, FL 33954-2180
Phone
(941) 624-6491
Fax
(941) 624-6781
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 9925 FL Primary

Addresses

Primary practice location

20101 Peachland Blvd
Ste. 204
Port Charlotte, FL 33954-2180

Mailing address

20101 Peachland Blvd
Ste. 204
Port Charlotte, FL 33954-2180
Phone (941) 624-6491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000348 FL Practitioner - Physical Therapist in Private Practice 0941276943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 9925FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT FL LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Bohn Physical Therapy LLC Physical Therapist PastSince May 22, 2004 Accepting new patients
Kamipractics, Inc. Physical Therapist PastSince Sep 21, 2005 Accepting new patients

Locations

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235155771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 PEACHLAND BLVD",
            "address_2": "STE. 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542180",
            "telephone_number": "941-624-6491",
            "fax_number": "941-624-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 PEACHLAND BLVD",
            "address_2": "STE. 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542180",
            "telephone_number": "941-624-6491",
            "fax_number": "941-624-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNANAN",
        "first_name": "MABEL",
        "middle_name": "SUNIO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 9925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.