Individual provider Active NPI

Suze-Elisha Principal, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1750558276
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
217 8TH Ave
Suite 1
Brooklyn, NY 11215
Phone
(718) 679-3659
Fax
(347) 229-0350
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 NY Primary

Addresses

Primary practice location

217 8TH Ave
Suite 1
Brooklyn, NY 11215

Mailing address

53 Rogers Ave Apt 2Re
Brooklyn, NY 11216-6000
Phone (718) 679-3659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831001437 NY Practitioner - Physical Therapist in Private Practice 6507262532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

217 9TH St
Apt 1
Brooklyn, NY 11215-3984
Phone (718) 679-3659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Principal Physical Therapy PLLC Physical Therapist CurrentSince Jul 30, 2021 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Nov 9, 2021 Accepting new patients

Locations

384 Bridge St
Fl 5
Brooklyn, NY 11201
Phone (347) 739-6281

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

71 8th Ave
Ste 1
Brooklyn, NY 11217
Phone (718) 679-3659

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1750558276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ROGERS AVE APT 2RE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112166000",
            "telephone_number": "718-679-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 8TH AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-679-3659",
            "fax_number": "347-229-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCIPAL",
        "first_name": "SUZE-ELISHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "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 Apr 21, 2026; 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.