Individual provider Active NPI

John G Sutherland, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1902922495
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02707 Issued in LA
Practice address
5717 Derek Ave
Sarasota, FL 34233-2413
Phone
(504) 908-9454
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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 02707 LA Primary

Addresses

Primary practice location

5717 Derek Ave
Sarasota, FL 34233-2413

Mailing address

5717 Derek Ave
Sarasota, FL 34233-2413
Phone (504) 908-9454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000191 FL Practitioner - Physical Therapist in Private Practice 7618982935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.87 of 100Reported as individual
Quality
81.75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02707LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
White Sands Physical Therapy and Aquatics, LLC Physical Therapist CurrentSince Jun 1, 2012 Accepting new patients
Handworks Therapy, L.C. Physical Therapist PastSince Jul 1, 2000 Accepting new patients

Locations

7157 Curtiss Ave
Sarasota, FL 34231
Phone (941) 924-5679

Organizations & group practices 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1902922495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 DEREK AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332413",
            "telephone_number": "504-908-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 DEREK AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332413",
            "telephone_number": "504-908-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.