Saju Idicula Varghese, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028349 Issued in NY

Practice address

6 W Park Dr
Old Bethpage, NY 11804-1621

Phone

(347) 642-1731

NPI assigned

Jan 9, 2008

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Stride Home PT Services PLLC

  • Physical Therapist
  • Old Bethpage, NY
  • NPI 1922969211
  Medicare reassignment NPD
• Patriot Family Medical Associates PLLC

  • Family Medicine Physician
  • Valley Stream, NY
  • NPI 1811031776
  NPD
• Visiting PT OT Services PLLC

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1285232082
  NPD

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1962687822",
    "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",
            "telephone_number": "347-642-1731"
        },
        {
            "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": "347-642-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SAJU",
        "middle_name": "IDICULA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stern
• Stride Home PT Services PLLC
• David Sussman
• Paula Sussman, LCSW
• Richa Tevatia, M.D.
• Dawn Wegard
• Diane Weinstein, LCSW
• Edward Wiedemann
• Marci Zaslav, LCSW
• Jill R Zeilander, M.S.,CCC-SLP

• 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 Jun 25, 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.