Active NPI
Hardik Ghanshyambhai Sutariya, MS, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049897
- 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
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 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049897 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shree Harikrushan Physical Therapy PC | Physical Therapist | Current | 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.
-
- Physical Therapy Assistant
- Spring Valley, NY
- NPI 1750870135
Physical Therapist
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.