Active NPI
Star Rehablitation PT, P.C.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1093755407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014189
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Hand Occupational Therapist
- Brooklyn, NY
- NPI 1780684498
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.