Organization Active NPI

Y and I Physical Therapy PC

  • Early Intervention Provider Agency
  • Forest Hills, NY
National Provider Identifier
1023312394
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
020991-1 Issued in NY
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

Updated by the provider on Dec 30, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.