Individual provider Active NPI

Shirley Romarate Sumilang, PT

  • Physical Therapist
  • Sweet Springs, MO
National Provider Identifier
1720113814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100158 Issued in MO
Practice address
718 Bridge St
Sweet Springs, MO 65351-1402
Phone
(660) 335-4431
Fax
(660) 335-4134
NPI assigned
Feb 22, 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
Physical Therapist 225100000X 100158 MO Primary

Addresses

Primary practice location

718 Bridge St
Sweet Springs, MO 65351-1402

Mailing address

718 Bridge St
P O Box 45
Sweet Springs, MO 65351-1402
Phone (660) 335-4431

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
100158MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Missouri Physical Therapy LLC Physical Therapist Past Accepting new patients
Sweet Springs Therapy Center Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720113814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 BRIDGE ST",
            "address_2": "P O BOX 45",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653511402",
            "telephone_number": "660-335-4431",
            "fax_number": "660-335-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 BRIDGE ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653511402",
            "telephone_number": "660-335-4431",
            "fax_number": "660-335-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMILANG",
        "first_name": "SHIRLEY",
        "middle_name": "ROMARATE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "100158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweet Springs, MO

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.