Active NPI
Sarah Gunderson, DPT
- Physical Therapist
- Dwight, IL
National Provider Identifier
1942966171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018962
- Practice address
- 701 E Mazon Ave
Dwight, IL 60420-1124 - Phone
- (815) 584-9280
- NPI assigned
- Nov 11, 2021
- Last updated
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018962 | IL | Primary |
Addresses
Primary practice location
701 E Mazon Ave
Dwight, IL 60420-1124
Mailing address
3007 E 1489TH Rd
Ottawa, IL 61350-9098
Phone (815) 481-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 E Maron Ave
Dwight, IL 60420-1124
Phone (815) 584-9280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018962 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1942966171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 E 1489TH RD",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613509098",
"telephone_number": "815-481-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E MAZON AVE",
"city": "DWIGHT",
"state": "IL",
"postal_code": "604201124",
"telephone_number": "815-584-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDERSON",
"first_name": "SARAH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dwight, IL
- Julie Erschen Saylor, PHARMD
- Family Medical Clinic of Livingston County SC
- Rodney Clell Gladson, D.D.S.
- Christine Gliwa
- Matthew J Govednik
- Heritage Manor - Dwight, LLC (Heritage Health - Dwight)
- Heritage Manor Dwight, LLC (Heritage Health - Dwight)
- Heritage Woods of Dwight, LLC
- Highland Park CVS, L.L.C (CVS Pharmacy #10607)
- Audrey Hoffart, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.