Organization Active NPI

Physical Therapy Nest P.C.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1033773437
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY NEST P.C.
Practice address
2919 Avenue S
Brooklyn, NY 11229-2544
Phone
(347) 517-7654
NPI assigned
May 1, 2019
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Yuriy Davidovich Babadzhanov, PT, DPTNPI 1962947754
Title
Owner, Doctor of Physical Therapy
Phone
(347) 517-7654

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

2919 Avenue S
Brooklyn, NY 11229-2544

Mailing address

74 Sylvan Place
Valley Stream, NY 11581
Phone (347) 517-7654

Other identifiers 1

IdentifierTypeStateIssuer
1962947754MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209000374 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567874985 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1033773437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SYLVAN PLACE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "347-517-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292544",
            "telephone_number": "347-517-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY NEST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "BABADZHANOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_middle_name": "DAVIDOVICH",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "347-517-7654",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962947754",
            "state": "NY"
        }
    ],
    "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 Mar 30, 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.