Individual provider Active NPI

Carolyn Surgent, PT

  • Specialist
  • Rye, NY
National Provider Identifier
1831272426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0234311 Issued in NY
Practice address
266 Purchase St
Rye, NY 10580-2127
Phone
(914) 921-6061
Fax
(914) 921-6075
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0234311 NY Primary

Addresses

Primary practice location

266 Purchase St
Rye, NY 10580-2127

Mailing address

266 Purchase St
Rye, NY 10580-2127
Phone (914) 921-6061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128002845 CT Practitioner - Physical Therapist in Private Practice 0446279707 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

35 River Rd
Cos Cob, CT 06807-2759
Phone (203) 422-0679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0234311NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy of New Canaan, PLLC CurrentSince Apr 8, 2019 Accepting new patients
Performance Physical Therapy of Darien LLC CurrentSince Dec 18, 2018 Accepting new patients
Performance Physical Therapy of Westport LLC CurrentSince Dec 18, 2018 Accepting new patients

Locations

800 Post Rd
#3A
Darien, CT 06820
Phone (203) 202-2703

800 Post Rd
Ste 3A
Darien, CT 06820
Phone (203) 202-2703

16 Cross St
New Canaan, CT 06840
Phone (203) 228-5010

508 Westport Ave
Norwalk, CT 06851
Phone (203) 553-7626

9 W Broad St
Ste 100
Stamford, CT 06902

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831272426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802127",
            "telephone_number": "914-921-6061",
            "fax_number": "914-921-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802127",
            "telephone_number": "914-921-6061",
            "fax_number": "914-921-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURGENT",
        "first_name": "CAROLYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0234311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.