Individual Healthcare Provider
Beth Ann Sun, PHYICAL THERAPIST
Provider's NPPES record last updated: December 1, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104904713
- Primary Specialty
- Physical Therapist — Neurology
- Practice Location
- Centennial, Colorado
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:45 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physical Therapist
Neurology
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
Taxonomy code 2251N0400X Specialist
Other Service Providers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Taxonomy code 174400000X
Provider-Reported License Information
- Physical Therapist (Colorado)
- PTL0010675
- Specialist (Alaska)
- 832
Practice Locations
Practice Location
16799 E Lake Ave
Centennial, Colorado 80016-3079
Phone: (720) 845-1976
Additional Practice Location
900 Potomac St
Aurora, Colorado 80011-6716
Phone: (303) 363-5150
Fax: (303) 363-5201
Record Information
- Enumeration Date
- November 1, 2006
- Provider's NPPES Record Last Updated
- December 1, 2022
- Certification Date
- December 1, 2022
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue