SUAREZ SPORT & ORTHOPEDIC PHYSICAL THERAPY PLLC (NPI# 1770079550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770079550 |
| Entity Type | Organization |
| Organization Name | SUAREZ SPORT & ORTHOPEDIC PHYSICAL THERAPY PLLC |
| Practice Address |
201 Beryl Way Watervliet NY 12189-2970 |
| Practice Telephone | 9144892319 |
| Mailing Telephone | 9144892319 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | DR. PATRICK S SUAREZ (OWNER) |
| Authorized Official Telephone | 5183489613 |
| Authorized Official Credential | PT, DPT, OCS, SC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
042738 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
042738 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
201 BERYL WAY |
| City | WATERVLIET |
| State | NY |
| Zip Code | 12189-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173744 | Edie Harris | Home Health Aide | 358 Watervliet Shaker Rd Unit A, Watervliet, NY 12189 | 2015-09-10 |
| 1689960163 | Sharon Mahoney | Speech-Language Pathologist | 11 Haswell Road, Watervliet, NY 12189 | 2011-06-23 |
| 1427279009 | Shakil Ali Virjee | Dentist | 1533 2nd Ave, Watervliet, NY 12189 | 2007-05-01 |
| 1952466286 | Watervliet City School District | Local Education Agency (LEA) | 1245 Hillside Drive, Watervliet, NY 12189 | 2006-12-27 |
| 1083788152 | Mahendra Ganjhu | Internal Medicine | 310 23rd Street, Watervliet, NY 12189 | 2006-11-20 |
| 1871012906 | Zhaleh Laliberte Lavasani | Speech-Language Pathologist | 32 Cohoes Road, Watervliet, NY 12189 | 2017-09-09 |
| 1861917924 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1901 2nd Ave, Watervliet, NY 12189 | 2017-08-10 |
| 1952783755 | Heather Sliwinski | Early Intervention Provider Agency | 32 Cohoes Road, Achievements and Kids Express, Watervliet, NY 12189 | 2015-06-29 |
| 1699051326 | Kelly Ann Rost | Social Worker | 11 Haswell Road, Watervliet, NY 12189 | 2011-10-26 |
| 1861585168 | Gattu N Rao | Surgery | 815 19th Street, First Fl., Watervliet, NY 12189-0187 | 2006-10-02 |
| Find all providers in zip 12189 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 12189 |
Please comment or provide details below to improve the information on SUAREZ SPORT & ORTHOPEDIC PHYSICAL THERAPY PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.