Individual provider Active NPI

Suman Dahiya

  • Physical Therapist
  • Greenwich, CT
National Provider Identifier
1205460490
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11725 Issued in CT
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

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210819001674 NJ Practitioner - Physical Therapist in Private Practice 9436554011 Reassigns benefits to 4 organizations

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
Bridgeway Care at Home LLCGroup PAC ID 6406198373, 39 clinicians

Practice addresses (Care Compare)

Bridgewater, NJ 08807
Phone (908) 722-7022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11725CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Sep 25, 2021 Accepting new patients
Synaptic Rehabilitation, LLC Physical Therapist CurrentSince Aug 11, 2021 Accepting new patients
Bridgeway Care at Home, LLC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients
Synaptic Rehab Bridgewater Physical Therapist PastSince Aug 11, 2021 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.

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.

Verify at the official NPI Registry.