Active NPI
Janelle Sununtnasuk, DPT
- Physical Therapist
- Wichita Falls, TX
National Provider Identifier
1487429833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64254
- Practice address
- 1600 11TH St
Wichita Falls, TX 76301-4300 - Phone
- (940) 764-7000
- NPI assigned
- Nov 15, 2023
- Last updated
- Nov 15, 2023
- 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 | 64254 | OR | Primary |
Addresses
Primary practice location
1600 11TH St
Wichita Falls, TX 76301-4300
Mailing address
3710 SW Metolius Ave
Redmond, OR 97756-6781
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 |
|---|---|---|---|
| 64254 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1487429833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 SW METOLIUS AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977566781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 11TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014300",
"telephone_number": "940-764-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNUNTNASUK",
"first_name": "JANELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
- Shonalatha Sudarshan, MD
- Sriram Sudarshan, MD
- Kenneth Sultemeier, M.D.
- Summit Pain and Wellness, PLLC
- Sanjoy Sundaresan, M.D.
- Susan Strate (North Texas Medical Laboratory)
- Beth H. Sutton
- Swan Health at Wichita Falls LLC (Swan Health at Wichita Falls)
- Jeffery Allen Swanson, D.O., F.A.A.F.P.
- Julianne Swedberg, TEACHER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.