SUNCICA SUNSHINE SVALINA DPT
NPI 1194149831
Physical Therapist in Athens, TN

Active since February 18, 2014Accepts Medicare Assignment
311 CONGRESS PKWY N, STE 800, ATHENS, TN 37303(423) 744-0890(423) 744-0849 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suncica Sunshine Svalina Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNCICA SUNSHINE SVALINA DPT (NPI 1194149831) is an individual physical therapist in Athens, Tennessee, licensed in Tennessee (9883) and active in the NPI registry since February 2014. She is a graduate of East Tennessee State University Quillen College Of Medicine (2013).

NPPES Registry Identity

NPI1194149831
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSUNCICA SUNSHINE SVALINACredential: DPT
Location Address311 CONGRESS PKWY N, STE 800Athens, TN 37303-1699
Mailing Address8823 Production LnOoltewah, TN 37363-6511 · (423) 238-7217 · Fax (423) 954-7408
Fax(423) 744-0849
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2013
Enumeration DateFebruary 18, 2014
NPI 1194149831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in TN · 9883
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

311 CONGRESS PKWY N, Athens, TN 37303

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Suncica Sunshine Svalina Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092931568
PECOS Enrollment IDI20140721000195

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
531 services25 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
320 services26 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
287 services26 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
128 services25 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
87 services22 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%39 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Aid Equipment
311 CONGRESS PKWY N, SUITE 200
ATHENS, TN 37303
Specialist/Technologist (Athletic Trainer)
311 CONGRESS PKWY N, STE 800
ATHENS, TN 37303
Speech-Language Pathologist
311 CONGRESS PKWY N, STE 800
ATHENS, TN 37303
Physical Therapist
311 CONGRESS PKWY N, STE 800
ATHENS, TN 37303
Physical Therapist
311 CONGRESS PKWY N, SUITE 800
ATHENS, TN 37303
Physical Therapist
311 CONGRESS PKWY N, STE. 800
ATHENS, TN 37303
Physical Therapist
311 CONGRESS PKWY N, STE. 800
ATHENS, TN 37303
Physical Therapist
311 CONGRESS PKWY N, STE 800
ATHENS, TN 37303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suncica Svalina's NPI number?

The NPI number for Suncica Svalina is 1194149831. It was assigned to this individual provider in the NPPES registry on February 18, 2014.

Where is Suncica Svalina located?

Suncica Svalina practices at 311 Congress Pkwy N Ste 800, Athens, TN 37303. The listed phone number is (423) 744-0890.

What is Suncica Svalina's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Suncica Svalina enrolled in Medicare?

Yes. Suncica Svalina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Suncica Svalina accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Suncica Svalina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suncica Svalina was last updated on February 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.