Individual provider Active NPI

Sushant Abrol, PT, DPT, MS

  • Physical Therapist
  • Briarwood, NY
National Provider Identifier
1174283063
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036001 Issued in NY
Practice address
14445 87TH Ave
Briarwood, NY 11435-3109
Phone
(718) 480-4000
NPI assigned
Dec 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036001 NY Primary

Addresses

Primary practice location

14445 87TH Ave
Briarwood, NY 11435-3109

Mailing address

102 N 1St St
New Hyde Park, NY 11040-2818
Phone (415) 424-5702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230322002303 NY Practitioner - Physical Therapist in Private Practice 3274907886 Reassigns benefits to 1 organization
I20230426001655 PA Practitioner - Physical Therapist in Private Practice 3274907886 Reassigns benefits to 1 organization
I20250711000267 NJ Practitioner - Physical Therapist in Private Practice 3274907886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion Rehabilitation PT PLLCGroup PAC ID 8628441276, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

1500 Farragut Ave
Bristol, PA 19007-5405
Phone (215) 290-7542

246 Washington Ave
Suite 101
Belleville, NJ 07109-3730
Phone (516) 440-0909

8834 161St St
Suite B
Jamaica, NY 11432-4087
Phone (215) 290-7542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
036001NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Rehabilitation PT PLLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Motion Rehabilitation PT PLLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
NPI 1760189781 Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

Locations

8834 161st St
Ste B
Jamaica, NY 11432
Phone (215) 290-7542

1500 Farragut Ave
Bristol, PA 19007
Phone (215) 290-7542

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1174283063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N 1ST ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402818",
            "telephone_number": "415-424-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 87TH AVE",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114353109",
            "telephone_number": "718-480-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABROL",
        "first_name": "SUSHANT",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.