Summit PT, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8227 Issued in FL

Legal business name

SUMMIT PT, PLLC

Practice address

4141 Sun N Lake Blvd
Sebring, FL 33872-2131

Phone

(407) 247-4454

NPI assigned

Mar 21, 2011

Last updated

Mar 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marly A Colon, PTNPI 1194809673

Title

Owner/ Manager

Phone

(407) 247-4454

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marly Ann Colon, PT

  • Physical Therapist
  • Sebring, FL
  • NPI 1194809673
  NPD (past) Authorized official

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1568761203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 ANGELO CIR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338729024",
            "telephone_number": "407-247-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722131",
            "telephone_number": "407-247-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "MARLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "407-247-4454",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Stratton, LMHC
• Charleen Kay Stroup, LMHC, LPN, CAP, BCPC
• Saurabh Sujanyal, MD
• Megan Virginia Sullivan, PTA
• Nazia Sultana, M.D.
• Sun 'N Lake Medical Group,PA
• Sun Health and Wellness, Inc (First Choice Specialty Pharmacy)
• Sundance Therapy Inc.
• Sunny Autism Home Care LLC
• Sunny Hills Alf of Sebring Inc

• Physical Therapist in Sebring, FL
• Providers in Sebring, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.