Ryan Douglas Sunderman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.024065 Issued in IL

Practice address

1329 Greenfield CT
Naperville, IL 60564-8978

Phone

(630) 470-7918

NPI assigned

Nov 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Valley Physical Therapy and Wellness,LLCGroup PAC ID 2769677608, 8 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Fox Valley Physical Therapy and Wellness,LLC

  • Physical Therapist
  • Saint Charles, IL
  • NPI 1619288966
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1912475047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 GREENFIELD CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648978",
            "telephone_number": "630-470-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 GREENFIELD CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648978",
            "telephone_number": "630-470-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERMAN",
        "first_name": "RYAN",
        "middle_name": "DOUGLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015886",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Terese Sun Oo, LCPC
• Chenxi Sun
• Heejoon Yu Sun, D.M.D, M.P.H.
• Sunburst Dental P.C (Sunrise Family Dental)
• Nithya Sunder, MD
• Sunlight Chiropractic PC
• Sunny Smiles LLC
• Sunrise North Naperville Assisted Living, LLC
• Superczynski Family Chiropractic, LTD
• Steven E Superczynski, D.C., FICPA, DACCP

• Physical Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.