Michelle Jennifer Sutherland, PT, PCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007469 Issued in GA

Practice address

3328 Bemiss Rd
Valdosta, GA 31605-7014

Phone

(229) 244-1201

Fax

(229) 244-1207

NPI assigned

Nov 8, 2006

Last updated

Jul 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sutherland Physical Therapy, Inc.

  • Pediatric Physical Therapist
  • Valdosta, GA
  • NPI 1689730319
  NPD Authorized official
• Valdosta Health & Wellness Clinic Inc

  • Adult Health Nurse Practitioner
  • Valdosta, GA
  • NPI 1366840258
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1306916416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057014",
            "telephone_number": "229-244-1201",
            "fax_number": "229-244-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057014",
            "telephone_number": "229-244-1201",
            "fax_number": "229-244-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "MICHELLE",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000957635C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamika Summers
• Ginger Sunbom
• Surgical Associates of Valdosta, P.C.
• Sutherland Physical Therapy, Inc.
• Eric G. Sutherland, PT, COMT
• Tara Sutherland, DDS
• Sheri L Swader, M.D.
• Carolyn Swilley
• Glenn T Swindle, D.D.S.
• Roy E Swindle Jr., MD

• Physical Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.