Individual provider Active NPI

Amie Sue

  • Physical Therapist
  • New York, NY
National Provider Identifier
1194434191
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049671-01 Issued in NY
Practice address
119 W 57TH St Ste 600
New York, NY 10019-2305
Phone
(212) 974-7252
Fax
(212) 974-7228
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 049671-01 NY Primary

Addresses

Primary practice location

119 W 57TH St Ste 600
New York, NY 10019-2305

Mailing address

119 W 57TH St Ste 600
New York, NY 10019-2305
Phone (212) 974-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221223000133 NY Practitioner - Physical Therapist in Private Practice 1153791785 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049671NYMDPharmacist
049671-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynergy Physical Therapy, P.C. Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients
Cynergy Physical Therapy Midtown East PLLC Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients

Locations

119 W 57th St
Ste 600
New York, NY 10019
Phone (212) 974-7252

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1194434191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252",
            "fax_number": "212-974-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252",
            "fax_number": "212-974-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUE",
        "first_name": "AMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049671-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.