Suzette Deanne Nichols

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014425-01 Issued in NY

Practice address

7000 Collamer Rd
East Syracuse, NY 13057-9765

Phone

(315) 656-7218

NPI assigned

Feb 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Metro Care Providers PT PLLCGroup PAC ID 2163872201, 12 clinicians

Achieve Occupational Therapy and Physical Therapy of Brooklyn PLLCGroup PAC ID 2769916592, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC

  • Occupational Medicine Clinic/Center
  • Brooklyn, NY
  • NPI 1780422709

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Metro Care Providers PT, PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1639959919

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257

  NY, Physical Therapist

  Medicare reassignment NPD
• Home-Based Physical Therapy PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1356900989
  NPD

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1295590875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9493 BEAR SPRINGS RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298736",
            "telephone_number": "315-569-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 COLLAMER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579765",
            "telephone_number": "315-656-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SUZETTE",
        "middle_name": "DEANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014425-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura P Neville, MSPT
• New York Anesthesiology Medical Specialties, PC
• Mary Jo Newberry, OTR/L
• Arlinda Newell
• Nam Nguyen, PHYSICIAN ASSISTANT
• John D Nicholson, MD
• Robin Ann Nicholson, M.S.
• Gerald M Nicolette, RPH
• Priscilla Nicotra, NP
• Stephanie Lynn Niewieroski, DDS

• All providers in East Syracuse, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.