Active NPI
Thomas Joseph Sunderlin Jr., PT
- Physical Therapist
- Yorkville, NY
National Provider Identifier
1457623068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021327-1
- Practice address
- 2350 Douglas Ave
Yorkville, NY 13495-1729 - Phone
- (315) 796-7634
- NPI assigned
- Jan 30, 2012
- Last updated
- Jan 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 021327-1 | NY | Primary |
Addresses
Primary practice location
2350 Douglas Ave
Yorkville, NY 13495-1729
Mailing address
2350 Douglas Ave
Yorkville, NY 13495-1729
Phone (315) 796-7634
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021327-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1457623068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 DOUGLAS AVE",
"city": "YORKVILLE",
"state": "NY",
"postal_code": "134951729",
"telephone_number": "315-796-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 DOUGLAS AVE",
"city": "YORKVILLE",
"state": "NY",
"postal_code": "134951729",
"telephone_number": "315-796-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERLIN",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021327-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorkville, NY
- Erica Piazza, LCSW
- Premise Health of New York Medical PC (Lithia Motors - Yorkville)
- RK Patel Corporation (Medicine Shoppe)
- Shreya RX, Inc (Medicine Shoppe)
- Stride Orthotics & Prosthetics, Inc. (Empire Orthopedic Laboratories)
- Elizabeth Jean Szlek, MA, NCC, LMHC
- Jessica Trifiletti, LCSW
- Whitesboro Central School
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.