Sundee Andrea Bolin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4068 Issued in TN

Practice address

314 Church St Apt 18
Hartsville, TN 37074-1713

Phone

(615) 339-8333

Fax

(615) 391-0693

NPI assigned

Jun 20, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427253228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CHURCH ST APT 18",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741713",
            "telephone_number": "615-339-8333",
            "fax_number": "615-391-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHURCH ST APT 18",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741713",
            "telephone_number": "615-339-8333",
            "fax_number": "615-391-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "SUNDEE",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bruce Badger, PHARMD
• Badru, Inc (Zion Wellness & Medical Clinic)
• Kendra Ann-Yvette Bailey
• Connie Annette Bartley, LPN
• Bienvenido T. Samson MD
• Leah K Brown, IBCLC
• Amy Fowler Broyles, PHARMD.
• Thomas Patrick Broyles, PHARMD.
• Jackson Burch
• Andrew Jordan Byrd, PHARMD

• Physical Therapy Assistant in Hartsville, TN
• Providers in Hartsville, TN by specialty
• Physical Therapy Assistant in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.