NPIMap

Organization Active NPI

Sun Rise Rehabilitation

Doing business as none

  • Technician
  • Sarasota, FL
National Provider Identifier
1720240435
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
PTA19755 Issued in FL
Legal business name
SUN RISE REHABILITATION
Doing business as
none
Practice address
1332 N Pompano Ave
Sarasota, FL 34237-3733
Phone
(941) 331-1497
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Ned Keith Burrell, PTNPI 1871728683
Title
Owner
Phone
(941) 331-1497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X PTA19755 FL Primary

Addresses

Primary practice location

1332 N Pompano Ave
Sarasota, FL 34237-3733

Mailing address

1332 N Pompano Ave
Sarasota, FL 34237-3733
Phone (941) 331-1497

Other identifiers 1

IdentifierTypeStateIssuer
U4860AOtherFLSUPPLIER NUMBER FOR PHYSICAL THERAPY MEDICARE GROUP PART B

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1720240435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 N POMPANO AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342373733",
            "telephone_number": "941-331-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 N POMPANO AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342373733",
            "telephone_number": "941-331-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RISE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "NED",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-331-1497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "FL",
            "license": "PTA19755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER FOR PHYSICAL THERAPY MEDICARE GROUP PART B",
            "identifier": "U4860A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.