Suzanne Puhalovic-Gattoni, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14474 Issued in NY

Practice address

132 Park Ave
New City, NY 10956-5000

Phone

(917) 864-1121

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1932322369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RIDGE RD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109202811",
            "telephone_number": "845-589-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PARK AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565000",
            "telephone_number": "917-864-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W 55th St",
            "address_2": "Suite LF",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100195303",
            "country_code": "US",
            "telephone_number": "212-757-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUHALOVIC-GATTONI",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "14474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Faith Prince, MA
• Dana Prinz, BCTMB, LMT
• Kerri Anne Proctor, M.S. CCC-SLP
• Prohealth Care Associates, LLP
• Dana Lin Puccio, PT
• Catherine Purvis
• Ryan Elizabeth Putnick
• Quality Care Dental LLP
• Starlee N. Qualter, LCSW
• Sharon Quayle, MD

• Physical Therapist in New City, NY
• Providers in New City, 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 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.