Individual provider Active NPI

Prasanth Prasanna Saswathan

  • Physical Therapy Assistant
  • Highland, NY
National Provider Identifier
1356064240
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
01221501 Issued in NY
Practice address
266 Vineyard Ave
Highland, NY 12528-2343
Phone
(845) 691-9225
Fax
(845) 691-6408
NPI assigned
Sep 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 01221501 NY Primary

Addresses

Primary practice location

266 Vineyard Ave
Highland, NY 12528-2343

Mailing address

692 Mount Airy Rd
New Windsor, NY 12553-8961
Phone (601) 513-0935

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01221501NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Care Partners, LLC PastSince Oct 2, 2022 Accepting new patients
Hudson Valley Care Partners, LLC PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 2

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1356064240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 MOUNT AIRY RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538961",
            "telephone_number": "601-513-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 VINEYARD AVE",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282343",
            "telephone_number": "845-691-9225",
            "fax_number": "845-691-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASANNA SASWATHAN",
        "first_name": "PRASANTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "01221501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.