Organization Active NPI

Bright Start PT & Pta PLLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1053854059
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.