Active NPI
Fritzie Sumalo
- Physical Therapist
- Byron, GA
National Provider Identifier
1780043877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009921
- Practice address
- 100 Hamilton Pointe Drive
Ste 115
Byron, GA 31008 - Phone
- (478) 956-4916
- Fax
- (478) 956-0958
- NPI assigned
- Feb 17, 2016
- Last updated
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009921 | GA | Primary |
Addresses
Primary practice location
100 Hamilton Pointe Drive
Ste 115
Byron, GA 31008
Mailing address
PO Box 1552
Byron, GA 31008-1552
Phone (478) 956-4916
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT009921 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Georgia Family Rehab | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Byron, GA
- NPI 1245672724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1780043877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1552",
"city": "BYRON",
"state": "GA",
"postal_code": "310081552",
"telephone_number": "478-956-4916",
"fax_number": "478-956-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HAMILTON POINTE DRIVE",
"address_2": "STE 115",
"city": "BYRON",
"state": "GA",
"postal_code": "31008",
"telephone_number": "478-956-4916",
"fax_number": "478-956-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMALO",
"first_name": "FRITZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Byron, GA
- Solvent LLC
- Antonio V. Spaventa Jr., FNP-C
- Special Care Podiatry of Georgia, LLC
- Marylorraine Alcott Spruill
- Alyson Stuckart, LPC
- Tender Loving Care Solutions, L.L.C
- The Medical Center of Peach County, Inc (Atrium Health Navicent Peach)
- The Medical Center of Peach County, Inc (Atrium Health Navicent Peach)
- Kaitlyn E Therrell, PHARMD
- Krista Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.