Sundance Rehabilitation Agency Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SUNDANCE REHABILITATION AGENCY INC

Practice address

628 Congdon Street West
Middletown, CT 06457-1967

Phone

(860) 347-7144

Fax

(860) 347-3942

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Daniel A Hirschfeld

Title

President

Phone

(610) 444-6350

Specialties & licenses 2

Addresses

Other names 1

• SunDance Rehabiliation Agency of Connecticut Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sundance Rehabilitation Agency LLC

  • Rehabilitation Clinic/Center
  • Savannah, GA
  • NPI 1376969410

  Member Of

  NPD member

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1235184201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR",
            "address_2": "SUITE 302",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "724-831-5044",
            "fax_number": "610-612-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CONGDON STREET WEST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571967",
            "telephone_number": "860-347-7144",
            "fax_number": "860-347-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHABILITATION AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "HIRSCHFELD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": "N/A",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunDance Rehabiliation Agency of Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Elizabeth Subbloie, RN
• Mandy Sullivan, LPC
• Olivia Sullivan
• Rylan Sullivan, LMSW
• Shawn Christopher Sullivan, PT
• Kent Sunderland, PSYD
• Sunny Side Counseling, LLC
• Surgi-Care, Inc
• Angela Surowiecki, MS RDN
• Julie Ann Sutton, LPC

• Rehabilitation Clinic/Center in Middletown, CT
• Providers in Middletown, CT by specialty
• Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.