Organization Active NPI

Ark Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1104317296
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017601 Issued in NY
Legal business name
ARK PHYSICAL THERAPY PC
Practice address
1009 Brighton Beach Ave Ste 2
Brooklyn, NY 11235-5621
Phone
(718) 975-8500
Fax
(718) 975-8502
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Eric Shork, PT
Title
Owner
Phone
(917) 763-8617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 017601 NY Primary

Addresses

Primary practice location

1009 Brighton Beach Ave Ste 2
Brooklyn, NY 11235-5621

Mailing address

1009 Brighton Beach Ave Ste 2
Brooklyn, NY 11235-5621
Phone (718) 975-8500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1104317296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355621",
            "telephone_number": "718-975-8500",
            "fax_number": "718-975-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355621",
            "telephone_number": "718-975-8500",
            "fax_number": "718-975-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "SHORK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-763-8617",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017601",
            "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 May 23, 2018; 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.