Sumner Fitness, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21065 Issued in MD

Legal business name

SUMNER FITNESS, INC.

Practice address

4611 Sangamore Rd Ste K
Bethesda, MD 20816-2547

Phone

(301) 229-9110

Fax

(301) 229-9465

NPI assigned

Apr 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael O'Flahavan

Title

Owner

Phone

(301) 229-9110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sumner Fitness Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Kennelly, PT

  • Physical Therapist
  • Bethesda, MD
  • NPI 1073619532
  NPD (past)
• Renee Stephanie Schrider, LPTA

  • Physical Therapy Assistant
  • Bethesda, MD
  • NPI 1508010844
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1528189016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 SANGAMORE RD STE K",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162547",
            "telephone_number": "301-229-9110",
            "fax_number": "301-229-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 SANGAMORE RD STE K",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162547",
            "telephone_number": "301-229-9110",
            "fax_number": "301-229-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "O'FLAHAVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-229-9110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "G01412",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumner Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Michelle Sumida, MD
• Nicola Giovanni Summa
• Ronald Summers, M.D., PH.D.
• Thomas Alan Summers Jr., M.D.
• Averie Summey
• Anne Elizabeth Sumner, MD
• Jennifer Yiling Sun, M.D.
• Russell Taylor Sundby, MD
• Lauretta Suneborn
• Sidney Kumar Suneja, M.D.

• Physical Therapist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.