IndividualActive
Andrew Suseno, P.T.
NPI 1932479292 · Pediatric Physical Therapist · New York, NY
Provider details
- NPI number
- 1932479292
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 034617 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
186 E 111th St Apt 2
New York, NY 10029-2840
Phone: (678) 488-9727
Street-level locationGet directions
Mailing address
186 E 111th St Apt 2
New York, NY 10029-2840
Additional practice locations (1)
- 420 95th StNyl William O'ConnorBrooklyn, NY 11209-7404Phone: (718) 680-9751
Registry dates
- Enumerated
- 2012-01-04
- Last updated
- 2019-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.