Suchitra Menon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22653 Issued in NC

Practice address

5055 Z Max Blvd Ste 103
Harrisburg, NC 28075-7555

Phone

(980) 402-1208

NPI assigned

Apr 5, 2022

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atrium Health Specialty Network Inc

  dba Atrium Health Dermatology

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1538975636

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthocarolina

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1497704217

  Physical Therapist

  Medicare reassignment NPD
• Ayrsley Town Rehabilitation, LLC

  • Physical Therapist
  • Charlotte, NC
  • NPI 1679722201
  Medicare reassignment
• Prava PC

  • Physical Therapist
  • Chicago, IL
  • NPI 1841003753

  NC

  Medicare reassignment
• Orthocarolina

  • Orthopaedic Surgery Physician
  • Indian Land, SC
  • NPI 1619641453

  Physical Therapist

  NPD
• Foundation Health Systems LLC

  dba Novant Health Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1912648197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 ARDMORE LN",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280750437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 Z MAX BLVD STE 103",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757555",
            "telephone_number": "980-402-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "SUCHITRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032314",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison T McKeown, DPT
• Mia C McLain
• Jennifer Lee McMillan, MD
• Mediessentials Equipment and Supplies
• Megan M. Raynor, DMD, PLLC
• Meridian Counseling Services, PLLC
• Miller Home LLC
• David C. Miller, MD
• Jacqueline Miller
• Trey Wyate Miller, DDS

• Physical Therapist in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• Physical Therapist in North Carolina

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