Jessica Lynn Sundman Barham, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14106 Issued in NC

Practice address

404 Airport Rd
Kinston, NC 28504-8226

Phone

(252) 522-1960

NPI assigned

Feb 19, 2013

Last updated

Dec 29, 2014By 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

• Dr. Jessica Lynn Sundman Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services TX LLC

  • Physical Therapist
  • Allen, TX
  • NPI 1710582580
  Medicare reassignment NPD
• THPT, Inc

  • Physical Therapist
  • Honolulu, HI
  • NPI 1619960275
  NPD (past)

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1689914210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 TREYBROOKE CIR APT 11",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048226",
            "telephone_number": "252-522-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHAM",
        "first_name": "JESSICA",
        "middle_name": "LYNN SUNDMAN",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SUNDMAN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baptist Children's Homes of North Carolina, Inc. (Kennedy Home)
• Luz Juliana Barahona, M.D.
• Barbara's Love and Care
• Barbara's Love and Care Inc.
• Joseph Glen Barber, D.D.S.
• Barnes Family Care Home, Inc
• Barnes Group Homes LLC
• Jennifer Belinda Bates, LPC, MA/ED.S
• Aqilah Talib Battle, MSW, LCSW
• Charles Britton Beasley

• Physical Therapist in Kinston, NC
• Providers in Kinston, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.