Individual provider Active NPI

Jill Carol Sundheim, O.T.

  • Specialist
  • Yardley, PA
National Provider Identifier
1689889685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OC000883L Issued in PA
Practice address
1480 Oxford Valley Rd
Yardley, PA 19067-5630
Phone
(215) 321-3921
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OC000883L PA Primary

Addresses

Primary practice location

1480 Oxford Valley Rd
Yardley, PA 19067-5630

Mailing address

135 Trenton Rd
Apartment B16
Fairless Hills, PA 19030-2717
Phone (267) 580-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC000883LPAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689889685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TRENTON RD",
            "address_2": "APARTMENT B16",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302717",
            "telephone_number": "267-580-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 OXFORD VALLEY RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675630",
            "telephone_number": "215-321-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDHEIM",
        "first_name": "JILL",
        "middle_name": "CAROL",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC000883L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.