Suzette Mantaring-Harris, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

004890 Issued in CT

Practice address

1445 E Putnam Ave
2ND Floor
Old Greenwich, CT 06870-1379

Phone

(203) 983-5748

Fax

(203) 869-4420

NPI assigned

Dec 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Suzette Harris Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Elite Health Services

  • Physical Therapist
  • Cos Cob, CT
  • NPI 1336475664
  NPD (past)

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1750684585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E PUTNAM AVE",
            "address_2": "2ND FLOOR",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701379",
            "telephone_number": "203-983-5748",
            "fax_number": "203-869-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E PUTNAM AVE",
            "address_2": "2ND FLOOR",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701379",
            "telephone_number": "203-983-5748",
            "fax_number": "203-869-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTARING-HARRIS",
        "first_name": "SUZETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "004890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "HARRIS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mackenzie Family Therapy PLLC
• Joanna Mackenzie
• Amanda Mackey
• Kevin John Makarewicz, LPC
• Edward J Mamelok, LO
• Ranya K Marjieh
• Mary Elizabeth Karlan
• Jamie McRoberts Griffin, PT
• Jake Metsky
• Jennifer Sarah Millman, MD

• Orthopedic Physical Therapist in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.