Suydam Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

50321 Issued in NY

Legal business name

SUYDAM PHYSICAL THERAPY

Practice address

2209 Merrick Rd Ste 206
Merrick, NY 11566-4770

Phone

(516) 771-2623

Fax

(516) 771-2623

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Michael Suydam, PTNPI 1659377737

Title

Pres

Phone

(516) 771-2623

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Suydam, PT

  • Physical Therapist
  • Merrick, NY
  • NPI 1659377737
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295943843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD STE 206",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664770",
            "telephone_number": "516-771-2623",
            "fax_number": "516-771-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD STE 206",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664770",
            "telephone_number": "516-771-2623",
            "fax_number": "516-771-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUYDAM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUYDAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-771-2623",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "50321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Physical Therapy PC
• Sunrise Acupuncture Wellness
• Gail Sussman
• Shawn James Sussman
• Kevin Sustad
• Michael J Suydam, PT
• Marissa S Sydial, PA-C
• Sadia Syed, MS, CCC-SLP
• Feliks Tabenshlak, M.S., CCC-SLP
• Lisa Beth Tabman

• Physical Therapist in Merrick, NY
• Providers in Merrick, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.