Active NPI
Charmian A. Sundell, PT
- Physical Therapist
- Moodus, CT
National Provider Identifier
1831431329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001254
- Practice address
- 534 Town St
Moodus, CT 06469-1101 - Phone
- (860) 873-6547
- NPI assigned
- Mar 22, 2013
- Last updated
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 001254 | CT | Primary |
Addresses
Primary practice location
534 Town St
Moodus, CT 06469-1101
Mailing address
14 S Main St
East Hampton, CT 06424-1644
Phone (860) 267-8479
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 |
|---|---|---|---|
| 001254 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1831431329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 S MAIN ST",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064241644",
"telephone_number": "860-267-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 TOWN ST",
"city": "MOODUS",
"state": "CT",
"postal_code": "064691101",
"telephone_number": "860-873-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDELL",
"first_name": "CHARMIAN",
"middle_name": "A.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "001254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moodus, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.