Individual provider Active NPI

Surbhi Chauhan

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1609756717
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054775-01 Issued in NY
Practice address
2501 Pitkin Ave
Brooklyn, NY 11208-2330
Phone
(516) 600-0016
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054775-01 NY Primary

Addresses

Primary practice location

2501 Pitkin Ave
Brooklyn, NY 11208-2330

Mailing address

1100 S 5TH St Apt 333
Harrison, NJ 07029-3243
Phone (296) 636-6363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002001784 NY Practitioner - Physical Therapist in Private Practice 1557867157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 S 5TH St Apt
Suite 333
Harrison, NJ 07029-3243

388 Hillside Ave
New Hyde Park, NY 11040-2587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054775NYMDOral and Maxillofacial Surgery (Dentist)
054775-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flexy Move Physical Therapy PLLC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients

Locations

388 Hillside Ave
New Hyde Park, NY 11040
Phone (248) 906-9066

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1609756717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S 5TH ST APT 333",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070293243",
            "telephone_number": "296-636-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082330",
            "telephone_number": "516-600-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "SURBHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054775-01",
            "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 Sep 8, 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.

Verify at the official NPI Registry.