Active NPI
Bright Start PT & Pta PLLC
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1053854059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- BRIGHT START PT & PTA PLLC
- Practice address
- 301 Ocean View Ave
Brooklyn, NY 11235 - Phone
- (929) 371-2131
- NPI assigned
- Nov 22, 2016
- Organization subpart
- Yes
- Parent organization
- BD MANUAL REHAB PT PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Boris Dolub, PHYSICAL THERAPIST
- Title
- Director
- Phone
- (929) 371-2131
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary | ||
| Clinic/Center | 261Q00000X | 023288 | NY |
Addresses
Primary practice location
301 Ocean View Ave
Brooklyn, NY 11235
Mailing address
301 Ocean View Ave
Brooklyn, NY 11235-6826
Phone (929) 371-2131
National Provider Directory
National Provider Directory- Part of
- BD Manual Rehab
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1750839981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485129600000",
"number": "1053854059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OCEAN VIEW AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356826",
"telephone_number": "929-371-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OCEAN VIEW AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "929-371-2131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT START PT & PTA PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BD MANUAL REHAB PT PC",
"enumeration_date": "2016-11-22",
"last_updated": "2017-01-23",
"status": "A",
"authorized_official_last_name": "DOLUB",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "929-371-2131",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "023288",
"primary": false
}
],
"identifiers": [],
"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 Jan 23, 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.