Organization Active NPI

Sundance Rehabilitation Agency, LLC

Doing business as Sundance Rehabilitation Agency of Massachusetts

  • Rehabilitation Clinic/Center
  • Hopkinton, MA
National Provider Identifier
1740341395
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SUNDANCE REHABILITATION AGENCY, LLC
Doing business as
Sundance Rehabilitation Agency of Massachusetts
Practice address
50 W Main St
Hopkinton, MA 01748-1672
Phone
(508) 435-1250
Fax
(508) 435-2213
NPI assigned
Dec 13, 2006
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNDANCE REHABILITATION CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Louise Ann Soika
Title
SVP
Phone
(610) 925-4088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MA Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

50 W Main St
Hopkinton, MA 01748-1672

Mailing address

101 E State Street
C/O Amy Nunemaker
Kennett Square, PA 19348-3109
Phone (610) 925-4560

Other names 1

  • Sundance Rehabilitation Agency of Massachusetts Doing business as

National Provider Directory

National Provider Directory
Part of
Sundance Rehabilitation Corp

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1740341395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE STREET",
            "address_2": "C/O AMY NUNEMAKER",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481672",
            "telephone_number": "508-435-1250",
            "fax_number": "508-435-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHABILITATION AGENCY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNDANCE REHABILITATION CORPORATION",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "SOIKA",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "610-925-4088"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Rehabilitation Agency of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sundance Rehabilitation Agency of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.