Active NPI
Nikoloz Tsitsishvili, PTA
- Physical Therapy Assistant
- Brooklyn, NY
National Provider Identifier
1003737867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 014639
- Practice address
- 2148 Ocean Ave
Brooklyn, NY 11229-1483 - Phone
- (718) 872-7002
- NPI assigned
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 014639 | NY | Primary |
Addresses
Primary practice location
2148 Ocean Ave
Brooklyn, NY 11229-1483
Mailing address
2245 Ocean Pkwy Apt 1F
Brooklyn, NY 11223-4858
Phone (347) 824-5795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1003737867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 OCEAN PKWY APT 1F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234858",
"telephone_number": "347-824-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2148 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291483",
"telephone_number": "718-872-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSITSISHVILI",
"first_name": "NIKOLOZ",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "014639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.