Michael Sunderland

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-8116 Issued in ID

Practice address

1024 8TH St
Rupert, ID 83350-1306

Phone

(208) 654-1444

Fax

(208) 643-4168

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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 and National Provider Directory roles.

• Wright Physical Therapy Limited Partnership

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1730732025

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Primary Therapy Source, LLC

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1912027343

  ID, Physical Therapist

  Medicare reassignment NPD
• Wright Physical Therapy Limited Partnership

  • Physical Therapist
  • Logan, UT
  • NPI 1770317455
  Care Compare group NPD
• Primary Therapy Source LLC

  • Durable Medical Equipment & Medical Supplies
  • Twin Falls, ID
  • NPI 1104672682

  Physical Therapist

  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wright Physical Therapy Limited Partnership 52 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1699405472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 401",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-654-1444",
            "fax_number": "208-643-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501306",
            "telephone_number": "208-654-1444",
            "fax_number": "208-643-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Gordon Slusser, O.D., M.S., F.A.A.O.
• Southern Idaho Therapy Services
• Todd Douglas Spaulding, LCSW
• Tyson Dean Steel, D.O.
• Linsey Sunderland
• Swenson M.D. Inc.
• Jeffrey Scott Swenson, MD
• Casie Taylor, FNP
• Town Square Dental PLLC
• Maria L Vega

• All providers in Rupert, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.