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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: August 23, 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
Phone(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
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Secondary Practice Location 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Suseno's NPI number?

The NPI number for Andrew Suseno is 1932479292. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Andrew Suseno located?

Andrew Suseno practices at 186 E 111th St Apt 2, New York, NY 10029. The listed phone number is (678) 488-9727.

What is Andrew Suseno's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Andrew Suseno was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.