Organization Active NPI

Imperial Physical Therapy

  • Physical Therapist
  • New York, NY
National Provider Identifier
1053661637
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026795 Issued in NY
Legal business name
IMPERIAL PHYSICAL THERAPY
Practice address
369 Lexington Avenue 16TH Floor
New York, NY 10017
Phone
(646) 861-1203
Fax
(212) 943-1999
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Ms. Arina Kotlyarsky, D.PT
Title
President
Phone
(917) 270-6143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 026795 NY Primary

Addresses

Primary practice location

369 Lexington Avenue 16TH Floor
New York, NY 10017

Mailing address

369 Lexington Avenue 16TH Floor
New York, NY 10017
Phone (646) 861-1203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1053661637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 LEXINGTON AVENUE 16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "646-861-1203",
            "fax_number": "212-943-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 LEXINGTON AVENUE 16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "646-861-1203",
            "fax_number": "212-943-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "KOTLYARSKY",
        "authorized_official_first_name": "ARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-270-6143",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.