Individual provider Active NPI

Princess Dianna Sulit

  • Physical Therapist
  • Clinton, NY
National Provider Identifier
1588386031
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041388 Issued in NY
Practice address
3507 Post St
Clinton, NY 13323-4716
Phone
(315) 557-6848
NPI assigned
Sep 12, 2022
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013051 CT
Physical Therapist 225100000X 041388 NY Primary

Addresses

Primary practice location

3507 Post St
Clinton, NY 13323-4716

Mailing address

3507 Post St
Clinton, NY 13323-4716
Phone (315) 557-6848

Other practice location 1

5392 State Highway 7
Oneonta, NY 13820-3419
Phone (607) 431-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717000709 NY Practitioner - Physical Therapist in Private Practice 3870953318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041388NYMDPharmacist
013051CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diane J. Wooldridge, Physical Therapy, PLLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Megamotion Physical Therapy CurrentSince Jun 20, 2023 Accepting new patients

Locations

5392 State Highway 7
Oneonta, NY 13820
Phone (315) 557-6848

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1588386031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 POST ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133234716",
            "telephone_number": "315-557-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 POST ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133234716",
            "telephone_number": "315-557-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5392 State Highway 7",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138203419",
            "country_code": "US",
            "telephone_number": "607-431-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULIT",
        "first_name": "PRINCESS DIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "013051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.