Organization Active NPI

Williamsburg Physical Therapy P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1053490599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
017209 Issued in NY
Legal business name
WILLIAMSBURG PHYSICAL THERAPY P.C.
Practice address
240 S 3Rd St
Brooklyn, NY 11211-5602
Phone
(718) 302-0456
Fax
(718) 302-0472
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alex Klurfeld, PHYSICAL THERAPIST
Title
President
Phone
(718) 302-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 017209 NY Primary

Addresses

Primary practice location

240 S 3Rd St
Brooklyn, NY 11211-5602

Mailing address

240 South 3Rd Street
Brooklyn, NY 11211
Phone (718) 302-0456

Other identifiers 1

IdentifierTypeStateIssuer
02581157MedicaidNY

National Provider Directory

National Provider Directory

Locations

705 Manhattan Ave
Brooklyn, NY 11222
Phone (347) 474-8464

3749 91st St
#1
Jackson Heights, NY 11372
Phone (718) 457-4801

69 Nagle Ave
New York, NY 10040
Phone (347) 735-5000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053490599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SOUTH 3RD STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-302-0456",
            "fax_number": "718-302-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115602",
            "telephone_number": "718-302-0456",
            "fax_number": "718-302-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLURFELD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-302-0456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "017209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581157",
            "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 Aug 22, 2020; 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.