Organization Active NPI

A to Z PT Rehab PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1013509256
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
A TO Z PT REHAB PC
Practice address
2811 Avenue Z FL 1
Brooklyn, NY 11235-2010
Phone
(347) 768-4609
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Vadim Kipiller, PTNPI 1205015252
Title
PT
Phone
(347) 768-4609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2811 Avenue Z FL 1
Brooklyn, NY 11235-2010

Mailing address

2811 Avenue Z FL 1
Brooklyn, NY 11235-2010
Phone (347) 768-4609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210323002357 NY Part B Supplier - Clinic/Group Practice 8123435955 Receives reassigned benefits from 6 practitioners
Practice locations: Middle Village, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1013509256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 AVENUE Z FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352010",
            "telephone_number": "347-768-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 AVENUE Z FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352010",
            "telephone_number": "347-768-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z PT REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "KIPILLER",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "347-768-4609",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Feb 9, 2021; 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.