Sun Country Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUN COUNTRY PHYSICAL THERAPY

Practice address

800 West Second Street
Roswell, NM 88201

Phone

(505) 625-9020

Fax

(505) 625-9025

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy J Elwell, PT MOMT

Title

Owner

Phone

(505) 625-9020

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yashdev Rohin Kundomal, PH. D., PT

  • Physical Therapist
  • Roswell, NM
  • NPI 1578618534
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881770055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEST SECOND STREET",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-625-9020",
            "fax_number": "505-625-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEST SECOND STREET",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-625-9020",
            "fax_number": "505-625-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN COUNTRY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELWELL",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-625-9020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT MOMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B5672",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reba Stroble
• Misty Renee Sturtevant, , LCSW
• Ramya Subgani, DDS
• Adalberto Subia-Juarez
• Stephanie Sugg
• Sunset Villa Healthcare LLC
• Ruben Alfaro Supan, NP-C
• Jessie Marie Surla, DNP, BC- FNP
• Susanna Rand
• Joeanna Marie Talamantes, CST-CSFA

• Physical Therapy Clinic/Center in Roswell, NM
• Providers in Roswell, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.