Tri Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28955 Issued in NY

Legal business name

TRI PHYSICAL THERAPY PC

Practice address

35 W End Ave Ste C1
Brooklyn, NY 11235-4869

Phone

(718) 998-9877

Fax

(718) 957-9008

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Anna Fyodorova, PTNPI 1437200250

Title

Owner

Phone

(718) 998-9877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Fyodorova, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1437200250
  Medicare reassignment Care Compare group Authorized official
• Igor Netis, DPT

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1407178684
  Medicare reassignment Care Compare group NPD
• Vicente Mendoza Caisip, PT

  • Specialist
  • New York, NY
  • NPI 1982834040
  Medicare reassignment Care Compare group
• Conie Uygongco, D.D.T

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1750748760
  Medicare reassignment NPD
• Shupin Wang, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1679359400
  Medicare reassignment NPD
• Arkady Aaron Lipnitsky, D.C.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1881603561
  NPD

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1003231754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W END AVE STE C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354869",
            "telephone_number": "718-998-9877",
            "fax_number": "718-957-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W END AVE STE C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354869",
            "telephone_number": "718-998-9877",
            "fax_number": "718-957-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "FYODOROVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-998-9877",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "28955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri Boro Rehab Occupational Therapy Services PLLC
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• Tri Center Inc
• Tri Center, Inc.
• Tri Center, Inc.
• Tri-Boro Podiatry PLLC
• Tri-Borough Certified Health Systems of New York. LLC
• Tri-Borough Health Careers, LLC
• Tri-Borough Home Care LTD
• Tri-State Foot Care, P.C

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.