Active NPI
Dale Suico Iway, P.T.
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1821384256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028233
- Practice address
- 15 Stone Ave
Greenwich, CT 06830-6123 - Phone
- (203) 919-3199
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 028233 | NY | Primary |
Addresses
Primary practice location
15 Stone Ave
Greenwich, CT 06830-6123
Mailing address
15 Stone Ave
Greenwich, CT 06830-6123
Phone (203) 919-3199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028233 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1821384256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 STONE AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306123",
"telephone_number": "203-919-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 STONE AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306123",
"telephone_number": "203-919-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWAY",
"first_name": "DALE",
"middle_name": "SUICO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.