Individual provider Active NPI

Kerri M Sundy, PT, MSPT

  • Physical Therapist
  • Carl Junction, MO
National Provider Identifier
1588098941
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
110045 Issued in MO
Practice address
206 S Roney St
Carl Junction, MO 64834-9402
Phone
(417) 649-7026
Fax
(417) 649-6594
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 110045 MO Primary

Addresses

Primary practice location

206 S Roney St
Carl Junction, MO 64834-9402

Mailing address

206 S Roney St
Carl Junction, MO 64834-9402
Phone (417) 649-7026

Other practice location 1

1227 E 32nd St Ste 7
Joplin, MO 64804-2904
Phone (417) 624-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000446 MO Practitioner - Physical Therapist in Private Practice 8921444381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

501 S Madison St L
Serc Webb City
Webb City, MO 64870-2426
Phone (417) 673-2156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Carl Junction R-1 School District Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

1227 E 32nd St
Ste 7
Joplin, MO 64804
Phone (417) 624-7400

501 S Madison St
Ste L
Webb City, MO 64870
Phone (417) 673-2156

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1588098941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S RONEY ST",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648349402",
            "telephone_number": "417-649-7026",
            "fax_number": "417-649-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S RONEY ST",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648349402",
            "telephone_number": "417-649-7026",
            "fax_number": "417-649-6594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 E 32nd St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648042904",
            "country_code": "US",
            "telephone_number": "417-624-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDY",
        "first_name": "KERRI",
        "middle_name": "M",
        "credential": "PT,  MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "110045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carl Junction, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.