Individual provider Active NPI

Danison R Suveeharan, OT

  • Occupational Therapist
  • Syosset, NY
National Provider Identifier
1467757369
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016581 Issued in NY
Practice address
34 Deborah Rd
Syosset, NY 11791-6721
Phone
(718) 916-0736
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 016581 NY Primary

Addresses

Primary practice location

34 Deborah Rd
Syosset, NY 11791-6721

Mailing address

34 Deborah Rd
Syosset, NY 11791-6721
Phone (718) 916-0736

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SYOSSET Other

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
016581NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Power Physical Therapy, P C Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1467757369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 DEBORAH RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916721",
            "telephone_number": "718-916-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 DEBORAH RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916721",
            "telephone_number": "718-916-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUVEEHARAN",
        "first_name": "DANISON",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SYOSSET",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SYOSSET",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SYOSSET",
            "address_1": "34 Deborah Rd",
            "city": "Syosset",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117916721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.