Active NPI
Suresh Kotte, MSPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1417627142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047301
- Practice address
- 145 Henry St Apt 1G
Brooklyn, NY 11201-2554 - Phone
- (718) 521-2424
- Fax
- (212) 404-8069
- NPI assigned
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 047301 | NY | Primary |
Addresses
Primary practice location
145 Henry St Apt 1G
Brooklyn, NY 11201-2554
Mailing address
145 Henry St Apt 1G
Brooklyn, NY 11201-2554
Phone (718) 521-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1305 Paterson Plank Rd
Apt 6403
North Bergen, NJ 07047-1996
3 Grace Ave
Suite 119
Great Neck, NY 11021-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047301 | NY | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1417627142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HENRY ST APT 1G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012554",
"telephone_number": "718-521-2424",
"fax_number": "212-404-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HENRY ST APT 1G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012554",
"telephone_number": "718-521-2424",
"fax_number": "212-404-8069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTTE",
"first_name": "SURESH",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.