Michael Sunderland, | |
1024 8th St, Rupert, ID 83350-1306 | |
(208) 654-1444 | |
(208) 643-4168 |
Full Name | Michael Sunderland |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1024 8th St, Rupert, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699405472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-8116 (Idaho) | Primary |
Provider Name | Primary Therapy Source, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912027343 PECOS PAC ID: 7012002702 Enrollment ID: O20070926000529 |
Provider Name | Wright Physical Therapy Limited Partnership |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1730732025 PECOS PAC ID: 1759612641 Enrollment ID: O20191007003583 |
Mailing Address | Practice Location Address |
---|---|
Michael Sunderland, 1411 Falls Ave E Ste 401, Twin Falls, ID 83301-3455 Ph: (208) 654-1444 | Michael Sunderland, 1024 8th St, Rupert, ID 83350-1306 Ph: (208) 654-1444 |
Mrs. Davee Carpenter Mussmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Suite A, Rupert, ID 83350 Phone: 208-436-9016 | |
Dr. Matthew Mckee, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St Ste A, Rupert, ID 83350 Phone: 208-436-9016 Fax: 208-436-4922 | |
Mr. Jeffery D. Baldwin, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Suite A, Rupert, ID 83350 Phone: 208-436-9016 Fax: 208-436-4922 | |
Southern Idaho Therapy Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 1224 8th St Ste A, Rupert, ID 83350 Phone: 208-436-9016 Fax: 208-436-4922 | |
Maria E. Hernandez, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Suite A, Rupert, ID 83350 Phone: 208-436-9016 Fax: 208-436-4922 | |
Peggy Goodman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 18th St, Rupert, ID 83350 Phone: 208-431-3444 |