Active NPI
Suman Dahiya
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1205460490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11725
- Practice address
- Nathaniel Witherell
70 Parsonage Rd
Greenwich, CT 08844 - Phone
- (857) 928-2247
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02022100 | NJ | |
| Physical Therapist | 225100000X | 11725 | CT | Primary |
Addresses
Primary practice location
Nathaniel Witherell
70 Parsonage Rd
Greenwich, CT 08844
Mailing address
27 Updike Ave
Hillsborough, NJ 08844-5521
Phone (857) 928-2247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bridgewater, NJ 08807
Phone (908) 722-7022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11725 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Synaptic Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Bridgeway Care at Home, LLC | Physical Therapist | Current | Accepting new patients |
| Synaptic Rehab Bridgewater | Physical Therapist | Past | Accepting new patients |
Locations
270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
Organizations & group practices 5
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.
-
- Geriatric Physical Therapist
- Bridgewater, NJ
- NPI 1104383421
-
- Physical Therapist
- Ocean, NJ
- NPI 1326495615
-
- Physical Therapist
- Warren, NJ
- NPI 1518514397
-
- Physical Therapist
- Shrewsbury, NJ
- NPI 1609406438
-
- Physical Therapist
- Bridgewater, NJ
- NPI 1487460770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1205460490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 UPDIKE AVE",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088445521",
"telephone_number": "857-928-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NATHANIEL WITHERELL",
"address_2": "70 PARSONAGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "08844",
"telephone_number": "857-928-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHIYA",
"first_name": "SUMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02022100",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "11725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.