DR. ANDREW D SUSENO P.T.
NPI 1932479292
Physical Therapist - Pediatrics in New York, NY

Active since January 04, 2012
186 E 111TH ST APT 2, NEW YORK, NY 10029(678) 488-9727 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrew D Suseno P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW D SUSENO P.T. (NPI 1932479292) is an individual pediatrics provider in New York, New York, licensed in New York (034617) and active in the NPI registry since January 2012. He maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1932479292
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameDR. ANDREW D SUSENOCredential: P.T.
Location Address186 E 111TH ST APT 2New York, NY 10029-2840
Mailing Address186 E 111th St Apt 2New York, NY 10029-2840 · (678) 488-9727
Sole ProprietorYes
Enumeration DateJanuary 4, 2012
Last NPPES UpdateJanuary 8, 2019
NPI 1932479292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NY · 034617
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

186 E 111TH ST APT 2, New York, NY 10029

Secondary Practice Location 1

Location 1420 95th St, NYL William O'ConnorBrooklyn, NY 11209-7404 · Phone (718) 680-9751

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932479292, enumerated as an "individual" on January 04, 2012.

The provider is located at 186 E 111TH ST APT 2 NEW YORK, NY 10029 and the phone number is (678) 488-9727.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.