Sunrise Pediatric Therapy, P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

OC005091L Issued in PA

Legal business name

SUNRISE PEDIATRIC THERAPY, P.C.

Practice address

971K Village Round
Wescosville, PA 18106-9786

Phone

(610) 217-1280

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Joy Poluka, M.S. OTR/L

Title

President

Phone

(610) 217-1280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1306086574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971K VILLAGE ROUND",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069786",
            "telephone_number": "610-217-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971K VILLAGE ROUND",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069786",
            "telephone_number": "610-217-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PEDIATRIC THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "POLUKA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-217-1280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "OC005091L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teather Lynne Royse, PA-C
• Sacred Heart Healthcare System (Sacred Heart Pediatric Associates - Trexlertown)
• Carol Anne Skinner
• Ashley Elizabeth Stuart, DDS
• Patricia Mary Sullivan, MS RD LDN
• Nancy L Trawin, ED.D.
• John Charles Turoczi, ED.D.
• Mark E Velarde, MD
• Laura M Zagacki, MS OTR/L

• Early Intervention Provider Agency in Wescosville, PA
• Providers in Wescosville, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.