Individual provider Active NPI

Vadim Plaxine, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1013296136
Registry record updated Aug 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034047 Issued in NY
Practice address
1580 Dahill Rd
Brooklyn, NY 11204-3537
Phone
(718) 375-2505
Fax
(718) 375-2472
NPI assigned
Aug 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034047 NY Primary

Addresses

Primary practice location

1580 Dahill Rd
Brooklyn, NY 11204-3537

Mailing address

2850 W 24TH St Apt 15D
Brooklyn, NY 11224-2353
Phone (718) 259-0639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001647 NY Practitioner - Physical Therapist in Private Practice 5890093348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2064 Cropsey Ave
Suite 1G
Brooklyn, NY 11214-6208
Phone (718) 975-8763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
VP Physical Therapy PLLC Physical Therapist CurrentSince Feb 25, 2016 Accepting new patients
Right Start, Inc. Past Accepting new patients

Locations

2064 Cropsey Ave
Ste 1G
Brooklyn, NY 11214
Phone (718) 975-8763

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312675200000",
    "number": "1013296136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 24TH ST APT 15D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242353",
            "telephone_number": "718-259-0639",
            "fax_number": "718-259-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 DAHILL RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043537",
            "telephone_number": "718-375-2505",
            "fax_number": "718-375-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAXINE",
        "first_name": "VADIM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-07",
        "last_updated": "2011-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034047",
            "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 Aug 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.