Active NPI
Y and I Physical Therapy PC
- Early Intervention Provider Agency
- Forest Hills, NY
National Provider Identifier
1023312394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 020991-1
- Legal business name
- Y AND I PHYSICAL THERAPY PC
- Practice address
- 11046 68TH Dr
Forest Hills, NY 11375-2953 - Phone
- (917) 881-8331
- NPI assigned
- Dec 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yuriy Khaimov
- Title
- President
- Phone
- (917) 881-8331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 020991-1 | NY | Primary |
Addresses
Primary practice location
11046 68TH Dr
Forest Hills, NY 11375-2953
Mailing address
11046 68TH Dr
Forest Hills, NY 11375-2953
Phone (917) 881-8331
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293667200000",
"number": "1023312394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11046 68TH DR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752953",
"telephone_number": "917-881-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11046 68TH DR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752953",
"telephone_number": "917-881-8331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "Y AND I PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-30",
"last_updated": "2010-12-30",
"status": "A",
"authorized_official_last_name": "KHAIMOV",
"authorized_official_first_name": "YURIY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-881-8331"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "020991-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.