Individual provider Active NPI

Sunni Khalila Sivadel

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1841428901
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
50 Irving St NW
GC-217
Washington, DC 20422-0001
Phone
(202) 745-8000
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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 Primary

Addresses

Primary practice location

50 Irving St NW
GC-217
Washington, DC 20422-0001

Mailing address

410 15TH St NE
27
Washington, DC 20002-5574
Phone (202) 320-9212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327000277 DC Practitioner - Physical Therapist in Private Practice 8224467204 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Medicine Institute, PC CurrentSince Dec 10, 2023 Accepting new patients
Advanced Pain Medicine Institute, PC CurrentSince Dec 10, 2023 Accepting new patients
Elements Center Incorporated CurrentSince Mar 6, 2020 Accepting new patients
Elements Fitness and Wellness Center LLC PastSince Mar 6, 2020 Accepting new patients

Locations

2233 Wisconsin Ave NW
Ste 217
Washington, DC 20007
Phone (202) 333-5252

7500 Greenway Center Dr
Ste 520
Greenbelt, MD 20770
Phone (301) 220-1333

Organizations & group practices 4

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1841428901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 15TH ST NE",
            "address_2": "27",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025574",
            "telephone_number": "202-320-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW",
            "address_2": "GC-217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204220001",
            "telephone_number": "202-745-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVADEL",
        "first_name": "SUNNI",
        "middle_name": "KHALILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.