Susan Michele Pundt, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT10882 Issued in FL

Practice address

4880 N. Newberry Rd. Suite 180
Balanced Body Pilates
Gainesville, FL 32607

Phone

(352) 336-2266

Fax

(352) 336-2475

NPI assigned

Apr 20, 2006

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Body Gainesville IncGroup PAC ID 1557260411, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Balanced Body Gainesville Inc

  • Physical Medicine & Rehabilitation Physician
  • Gainesville, FL
  • NPI 1326002387
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1467417568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 W. NEWBERRY RD. SUITE 180",
            "address_2": "BALANCED BODY PILATES",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-336-2266",
            "fax_number": "352-336-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N. NEWBERRY RD. SUITE 180",
            "address_2": "BALANCED BODY PILATES",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-336-2266",
            "fax_number": "352-336-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNDT",
        "first_name": "SUSAN",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT10882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y4760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolima Pulido, APRN
• Bryony Dawn Pullin, LMT
• Alexis Pullos
• Pulmonary Physicians of Gainesville, PA
• Andres J Pumariega, MD
• Madhukar K. Punja, M.D.
• Reyna Olivia Maria Purcell, SLP-CCC
• Sandra Purcell, MSN, RN CPNP-PC
• Lauren Michelle Purdin, L.M.T.
• Pure Love Home Care LLC

• Physical Medicine & Rehabilitation Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.