Individual provider Active NPI

Suzanne Shair, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1992943013
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015866-1 Issued in NY
Practice address
473 FDR Dr
Storefront
New York, NY 10002-2024
Phone
(212) 475-2000
Fax
(212) 475-2021
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015866-1 NY Primary

Addresses

Primary practice location

473 FDR Dr
Storefront
New York, NY 10002-2024

Mailing address

477 FDR Dr
#M1901
New York, NY 10002-2062
Phone (917) 721-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110312000034 NY Practitioner - Physical Therapist in Private Practice 6305028309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shair Home Care Physical Therapy PCGroup PAC ID 4587846589, 2 clinicians

Practice addresses (Care Compare)

473 FDR Dr
New York, NY 10002-2024
Phone (212) 475-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015866NYMDMental Health Counselor
015866-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shair Home Care Physical Therapy PC CurrentSince Dec 2, 2010 Accepting new patients

Locations

473 Fdr Dr
New York, NY 10002
Phone (212) 475-2000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1992943013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 FDR DR",
            "address_2": "#M1901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022062",
            "telephone_number": "917-721-4522",
            "fax_number": "212-475-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 FDR DR",
            "address_2": "STOREFRONT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022024",
            "telephone_number": "212-475-2000",
            "fax_number": "212-475-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIR",
        "first_name": "SUZANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015866-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.