Individual provider Active NPI

Sharon Sathuthiti, P.T.

  • Physical Therapist
  • Rye, NY
National Provider Identifier
1306191002
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034913 Issued in NY
Practice address
411 Theodore Fremd Ave
Suite 104
Rye, NY 10580-1410
Phone
(914) 921-6061
Fax
(914) 921-6075
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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 034913 NY Primary

Addresses

Primary practice location

411 Theodore Fremd Ave
Suite 104
Rye, NY 10580-1410

Mailing address

411 Theodore Fremd Ave
Suite 104
Rye, NY 10580-1410
Phone (914) 921-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034913NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1306191002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 THEODORE FREMD AVE",
            "address_2": "SUITE 104",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801410",
            "telephone_number": "914-921-6061",
            "fax_number": "914-921-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 THEODORE FREMD AVE",
            "address_2": "SUITE 104",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801410",
            "telephone_number": "914-921-6061",
            "fax_number": "914-921-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHUTHITI",
        "first_name": "SHARON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.