Randall Sunderland

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RANDALL SUNDERLAND

Doing business as

Matrix Rehabilitation Center

Practice address

707 E 17TH St
Del Rio, TX 78840-7817

Phone

(830) 768-2582

Fax

(830) 768-0992

NPI assigned

Jun 18, 2006

Last updated

Sep 18, 2007By 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

Mr. Randall Lee SunderlandNPI 1386820793

Title

Administrator Owner

Phone

(830) 768-2582

Specialties & licenses 1

Addresses

Other names 1

• Matrix Rehabilitation Center Doing business as

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.

• Randall Lee Sunderland

  • Rehabilitation Clinic/Center
  • Del Rio, TX
  • NPI 1386820793
  NPD (past) Authorized official

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1619912144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E 17TH ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788407817",
            "telephone_number": "830-768-2582",
            "fax_number": "830-768-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E 17TH ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788407817",
            "telephone_number": "830-768-2582",
            "fax_number": "830-768-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL SUNDERLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "SUNDERLAND",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "830-768-2582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Powell-Slayton, LPC
• Pro-Care Spine Center, PLLC (Pro-Care Medical Center)
• R P K Unlimited Inc (Kaiser Eye Care)
• Sarah Raichlin
• Lydia Olivia Ramos, LCSW
• Cathy Ruth Readman
• Retama Manor del Rio LLC (Retama Manor Del Rio)
• Reyes Home Care
• Daniela Sarahi Reyna
• Tommy Lee Reyna, RN, BSN

• Physical Therapy Clinic/Center in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.