Active NPI
Simone Peres Carneiro Sundquist, MD
- Physical Therapist
- Palm Beach Gardens, FL
National Provider Identifier
1447906797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34093
- Practice address
- 3375 Burns Rd Ste 108
Palm Beach Gardens, FL 33410-4360 - Phone
- (561) 899-7747
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34093 | FL | Primary |
Addresses
Primary practice location
3375 Burns Rd Ste 108
Palm Beach Gardens, FL 33410-4360
Mailing address
1955 W Frederick Small Rd
Jupiter, FL 33458-8704
Phone (786) 427-5119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34093 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1447906797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 W FREDERICK SMALL RD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334588704",
"telephone_number": "786-427-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 BURNS RD STE 108",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104360",
"telephone_number": "561-899-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERES CARNEIRO SUNDQUIST",
"first_name": "SIMONE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "34093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.