Individual provider Active NPI

Yves Michel Surin, PHYSICAL THERAPIST A

  • Physical Therapy Assistant
  • Apopka, FL
National Provider Identifier
1356525380
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
003861-1 Issued in NY
Practice address
899 Cavan Dr
Apopka, FL 32703-8344
Phone
(407) 967-1056
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 003861-1 NY Primary

Addresses

Primary practice location

899 Cavan Dr
Apopka, FL 32703-8344

Mailing address

899 Cavan Dr
Apopka, FL 32703-8344
Phone (407) 967-1056

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
003861-1NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Health Acupuncture & Physical Therapy CurrentSince Oct 27, 2019 Accepting new patients
Marianne House of Care LLC Current 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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1356525380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 CAVAN DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038344",
            "telephone_number": "407-967-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 CAVAN DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038344",
            "telephone_number": "407-967-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIN",
        "first_name": "YVES",
        "middle_name": "MICHEL",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "003861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.