Active NPI
Susan Feldman, PT, PHD
- Physical Therapist
- Quogue, NY
National Provider Identifier
1053004960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8146
- Practice address
- 5 Indian Pipe Dr
Quogue, NY 11959-4240 - Phone
- (917) 498-0030
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 8146 | NY | Primary |
Addresses
Primary practice location
5 Indian Pipe Dr
Quogue, NY 11959-4240
Mailing address
PO Box 463
Quogue, NY 11959-0463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8146 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1053004960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 463",
"city": "QUOGUE",
"state": "NY",
"postal_code": "119590463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 INDIAN PIPE DR",
"city": "QUOGUE",
"state": "NY",
"postal_code": "119594240",
"telephone_number": "917-498-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "SUSAN",
"credential": "PT, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "8146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.