Individual provider Active NPI

Yuliya Royberman, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1073973137
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019703 Issued in NY
Practice address
2411 E 2ND St
Brooklyn, NY 11223-6041
Phone
(718) 395-3155
Fax
(718) 395-3141
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019703 NY Primary

Addresses

Primary practice location

2411 E 2ND St
Brooklyn, NY 11223-6041

Mailing address

2411 E 2ND St
Brooklyn, NY 11223-6041
Phone (718) 909-5929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104000477 NY Practitioner - Occupational Therapist in Private Practice 6709173446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Back 2 Shape PT and OT PLLCGroup PAC ID 8921367798, 2 clinicians

Practice addresses (Care Compare)

1414 Sheepshead Bay Rd
Suite 103
Brooklyn, NY 11235-3814
Phone (718) 909-5929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Shape P.T. & O.T., PLLC Occupational Therapist CurrentSince Sep 13, 2017 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Sep 7, 2022 Accepting new patients
Back 2 Shape Physical Therapy, PLLC CurrentSince Sep 13, 2017 Accepting new patients
Moms With Tots Occupational Therapy, PC Occupational Therapist Current Accepting new patients

Locations

1414 Sheepshead Bay Rd
Ste 103
Brooklyn, NY 11235
Phone (718) 909-5929

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1073973137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236041",
            "telephone_number": "718-909-5929",
            "fax_number": "718-942-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236041",
            "telephone_number": "718-395-3155",
            "fax_number": "718-395-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYBERMAN",
        "first_name": "YULIYA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019703",
            "primary": true
        }
    ],
    "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 Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.