Stride Home PT Services PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STRIDE HOME PT SERVICES PLLC

Practice address

6 W Park Dr
Old Bethpage, NY 11804-1621

Phone

(341) 642-1731

NPI assigned

Nov 18, 2025

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saju Vargheses, DPT

Title

Owner

Phone

(347) 642-1731

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saju Idicula Varghese, PT

  • Physical Therapist
  • Old Bethpage, NY
  • NPI 1962687822
  Medicare reassignment NPD

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1922969211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W PARK DR",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W PARK DR",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041621",
            "telephone_number": "341-642-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE HOME PT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "VARGHESES",
        "authorized_official_first_name": "SAJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-642-1731",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Shataka
• Roberta Simon, SLP
• Sara Spilkevitz
• Lindsay Steckler, MS, OTR/L
• Michelle Stern
• David Sussman
• Paula Sussman, LCSW
• Richa Tevatia, M.D.
• Saju Idicula Varghese, PT
• Dawn Wegard

• Physical Therapist in Old Bethpage, NY
• Providers in Old Bethpage, 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 Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.