Individual provider Active NPI

Christian Ryan Simsuangco

  • Physical Therapist
  • New York, NY
National Provider Identifier
1750063475
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
146 5TH Ave
New York, NY 10011-4324
Phone
(718) 866-0172
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 Primary

Addresses

Primary practice location

146 5TH Ave
New York, NY 10011-4324

Mailing address

3 Garvey Dr
Hauppauge, NY 11788-2714
Phone (631) 871-0458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919000143 NY Practitioner - Physical Therapist in Private Practice 0840654208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Handd Dynamic Physical and Occupational Therapy, PLLCGroup PAC ID 7416132634, 45 clinicians

Practice addresses (Care Compare)

146 5TH Ave
Brooklyn, NY 11217-3226
Phone (212) 499-0876

815 2ND Ave
RM 701
New York, NY 10017-4500
Phone (646) 656-0156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H&D Dynamic Physical & Occupational Therapy, PLLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
H&D Physical Therapy & Occupational Therapy PLLC Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients

Locations

684 5th Ave
Brooklyn, NY 11215
Phone (718) 865-9474

146 5th Ave
Brooklyn, NY 11217
Phone (718) 866-0172

62 E 88th St
Lowr
New York, NY 10128
Phone (212) 369-9200

815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1750063475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GARVEY DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882714",
            "telephone_number": "631-871-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114324",
            "telephone_number": "718-866-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMSUANGCO",
        "first_name": "CHRISTIAN",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.