Organization Active NPI

Star Rehablitation PT, P.C.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1093755407
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014189 Issued in NY
Legal business name
STAR REHABLITATION PT, P.C.
Practice address
7610-7612 13TH Ave
Brooklyn, NY 11228-2411
Phone
(718) 234-5175
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Mr. Trevor Hilton Resnick, P.T.
Title
Director
Phone
(718) 234-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 014189 NY Primary

Addresses

Primary practice location

7610-7612 13TH Ave
Brooklyn, NY 11228-2411

Mailing address

41 Pennington Way
Spring Valley, NY 10977-1419
Phone (845) 364-0499

National Provider Directory

National Provider Directory

Locations

7910 13th Ave
#7612
Brooklyn, NY 11228

Practitioners & affiliated clinicians

Practitioners 1

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1093755407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PENNINGTON WAY",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771419",
            "telephone_number": "845-364-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610-7612 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282411",
            "telephone_number": "718-234-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR REHABLITATION PT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "HILTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-234-5175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014189",
            "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 Jan 2, 2009; 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.