Cynyrlynne Lola Suganob, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012864A Issued in IN

Practice address

1332 W Arch Haven Ave Ste E
Bloomington, IN 47403-2078

Phone

(812) 333-7018

Fax

(812) 333-7094

NPI assigned

Jan 26, 2023

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Preferred Home Health Care - Vincennes, Inc

  • Home Health Agency
  • Avon, IN
  • NPI 1003805631
  NPD (past)
• Preferred Home Health Care, Inc.

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1679562458
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1487360053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W WESTWIND CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038926",
            "telephone_number": "812-259-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W ARCH HAVEN AVE STE E",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032078",
            "telephone_number": "812-333-7018",
            "fax_number": "812-333-7094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Newton St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475461329",
            "country_code": "US",
            "telephone_number": "812-482-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6920 Parkdale Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462545604",
            "country_code": "US",
            "telephone_number": "317-245-7236",
            "fax_number": "317-245-7280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2119 E National Hwy",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475014507",
            "country_code": "US",
            "telephone_number": "812-254-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGANOB",
        "first_name": "CYNYRLYNNE",
        "middle_name": "LOLA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012864A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Sue Sturgeon, DDS
• Yu-Ting Su
• Timothy Sudrovech, LCSW
• Sue'S Center Inc
• Sue'S Center LLC
• James M Sullivan, M.D.
• Kristine J. Sullivan, LCSW
• Thomas Mann Sullivan, LCSW LMFT
• Mohamed Owais Sultan
• Maria Summers, DDS

• Physical Therapist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.