Talli Van Sunder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26302 Issued in CA

Practice address

581 Lighthouse Ave
Pacific Grove, CA 93950-2646

Phone

(831) 657-0177

Fax

(831) 508-8998

NPI assigned

Feb 28, 2014

Last updated

Mar 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Stride Physical Therapy & Rehab, Inc.

  • Physical Therapist
  • Pacific Grove, CA
  • NPI 1134544059
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1881019701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939500136",
            "telephone_number": "831-657-0177",
            "fax_number": "831-508-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 LIGHTHOUSE AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502646",
            "telephone_number": "831-657-0177",
            "fax_number": "831-508-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SUNDER",
        "first_name": "TALLI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turner Psychology Services Inc (Calm Down Kids: Children's Psychology Center)
• Tsunami Turner, PSYD
• Untamed Nutrition Therapy, LLC
• Brianna Valle-Gallegos
• James Van Kennen III
• Adelina Vandenham, CPHT
• Marissa Vasquez, PH.D.
• Monserrat Vera Rumbo
• Vivo Physical Therapy, Inc. (VIVO Physical Therapy)
• Brian Edward Wainwright, MFT INTERN

• Physical Therapist in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.