Individual provider Active NPI

Hardik Ghanshyambhai Sutariya, MS, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1679350573
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049897 Issued in NY
Practice address
3960 Flatlands Ave
Brooklyn, NY 11234-3043
Phone
(718) 258-8128
Fax
(718) 258-2073
NPI assigned
Sep 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 049897 NY Primary

Addresses

Primary practice location

3960 Flatlands Ave
Brooklyn, NY 11234-3043

Mailing address

663 Summit Ave Apt 1
Jersey City, NJ 07306-2501
Phone (862) 348-1206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925004244 NY Practitioner - Physical Therapist in Private Practice 6305341793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Shree Harikrushan Physical Therapy PCGroup PAC ID 0749516581, 6 clinicians

Practice addresses (Care Compare)

873 Route 45
Suite 102
New City, NY 10956-1123
Phone (845) 414-9115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
049897NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shree Harikrushan Physical Therapy PC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients

Locations

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

60 N Madison Ave
Spring Valley, NY 10977
Phone (845) 414-9115

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, 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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1679350573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 SUMMIT AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062501",
            "telephone_number": "862-348-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343043",
            "telephone_number": "718-258-8128",
            "fax_number": "718-258-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTARIYA",
        "first_name": "HARDIK",
        "middle_name": "GHANSHYAMBHAI",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049897",
            "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 13, 2023; 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.