Melissa Ann Sundberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1340 Issued in AK

Practice address

5660 B St Ste 200
Anchorage, AK 99518-1641

Phone

(907) 215-3045

Fax

(907) 802-4538

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1346433844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD",
            "address_2": "STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073448",
            "telephone_number": "907-279-4266",
            "fax_number": "907-743-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181641",
            "telephone_number": "907-215-3045",
            "fax_number": "907-802-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "1340",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Family Practice, LLC
• Summit Wellness LLC
• Tad Sumner, LCSW, CDCI
• Chasity Dawn Sumrall, LPN
• Sundance Ak Care Coordination LLC
• William C Sundberg, CPO
• Hilary Sundboom
• Alicia Sundborg
• Samantha Sundborg
• John L Sundeen, LPC

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.