Principal Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRINCIPAL PHYSICAL THERAPY PLLC

Practice address

71 8TH Ave
Brooklyn, NY 11217-3958

Phone

(718) 679-3659

Fax

(855) 820-1237

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Suze-Elisha Principal, PTNPI 1750558276

Title

Physical Therapist

Phone

(718) 679-3659

Specialties & licenses 1

Addresses

Other names 1

• Principal Physical Therapy PLLC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Suze-Elisha Principal, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1750558276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674950400000",
    "number": "1356963367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ROGERS AVE APT 2RE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112166000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173958",
            "telephone_number": "718-679-3659",
            "fax_number": "855-820-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPAL PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "PRINCIPAL",
        "authorized_official_first_name": "SUZE-ELISHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-679-3659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Principal Physical Therapy PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samia Prince
• Sandra Ava Prince, MS ED
• Shantel Prince, PA-C
• Tennille Prince
• Princess Cecelia Adult Social Center LLC
• Lisa Principal
• Suze-Elisha Principal, PT
• Kathryn Principato
• Kerry Ann Pringle
• Roan Elaine Pringle, MS, RD, CDN

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.