Millie Elaine Sunderlin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017308 Issued in OH

Practice address

10204 Granger Rd
Garfield Heights, OH 44125-3106

Phone

(216) 581-2900

NPI assigned

Feb 13, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Millie Elaine Patchan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659871911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 MAYFAIR DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441311613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 GRANGER RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441253106",
            "telephone_number": "216-581-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1274 Mayfair Dr",
            "address_purpose": "LOCATION",
            "city": "Seven Hills",
            "state": "OH",
            "postal_code": "441311613",
            "country_code": "US",
            "telephone_number": "330-243-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDERLIN",
        "first_name": "MILLIE",
        "middle_name": "ELAINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILLIE",
            "last_name": "PATCHAN",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.