Tracy R Surprenant, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032023 Issued in NY

Practice address

500 Federal St
Suite 302
Troy, NY 12180-2832

Phone

(518) 272-3324

NPI assigned

Oct 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Debra Q. Virtanen

  • Physical Therapy Clinic/Center
  • Troy, NY
  • NPI 1578582789
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1386970432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST",
            "address_2": "SUITE 302",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802832",
            "telephone_number": "518-272-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST",
            "address_2": "SUITE 302",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802832",
            "telephone_number": "518-272-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURPRENANT",
        "first_name": "TRACY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Sulzman, MD
• Timothy Summers
• Shobharani Chitra Sundaram, M.D.
• Sunday Morning Speech Company
• Steve Sung, MD
• Sara N Swan, FNP
• Kathleen Manupella Sweener, PSY.D.
• Randolph Sweet
• Ann Loring Swezey, ANP
• Sohaib Syed, DO

• Physical Therapist in Troy, NY
• Providers in Troy, 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 Jan 10, 2011; 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.