Micah Jeremy Sugarman, D.C., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031325-1 Issued in NY

Practice address

120 Erie Canal Dr
Suite 130
Rochester, NY 14626-4607

Phone

(585) 471-5025

Fax

(585) 471-5553

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Buffalo School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ridgeway Physical Therapy and Chiropractic PLLC

  • Physical Therapist
  • Rochester, NY
  • NPI 1790234722

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1871647388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR",
            "address_2": "SUITE 130",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264607",
            "telephone_number": "585-471-5025",
            "fax_number": "585-471-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR",
            "address_2": "SUITE 130",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264607",
            "telephone_number": "585-471-5025",
            "fax_number": "585-471-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "MICAH",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.C., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011278",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031325-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah E. Sudore
• Jamie Lynn Sudore, RN
• Vanessa Sudore, NP
• Wei-Li Suen, MD
• Laurence Irwin Sugarman, MD
• Yoo Kyung Suh, DDS
• Young Joo Suh, MD, MS
• Doralie Sukhavong, LMHC
• Joohee Sul, MD
• Elisabeth Sulger, MD

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.