Healthcare Provider Details

I. General information

NPI: 1790375673
Provider Name (Legal Business Name): SUNSHINE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8271 KARA CREEK RD
FRISCO TX
75036-4872
US

IV. Provider business mailing address

8271 KARA CREEK RD
FRISCO TX
75036-4872
US

V. Phone/Fax

Practice location:
  • Phone: 248-882-5404
  • Fax:
Mailing address:
  • Phone: 248-882-5404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: VISHNU KIRAN RAMANNAGARI
Title or Position: MANAGING MEMBER
Credential:
Phone: 248-882-5404