Boro Park Physical Fitness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031012 Issued in NY

Legal business name

BORO PARK PHYSICAL FITNESS LLC

Practice address

5608 New Utrecht Ave
Brooklyn, NY 11219-4631

Phone

(718) 947-6288

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neil Moskovitz, DPT

Title

Ceo

Phone

(718) 947-6288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1114302924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194631",
            "telephone_number": "718-947-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194631",
            "telephone_number": "718-947-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORO PARK PHYSICAL FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "MOSKOVITZ",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-947-6288",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boro Park Operating Co LLC
• Boro Park Operating Co LLC (Boro Park Center for Rehabilitation & Healthcare)
• Boro Park Pediatric Associates, PLLC
• Boro Park Pharmacy Corp. (Boro Park Pharmacy)
• Boro Park Pharmacy Corp. (Boro Park Pharmacy)
• Boro Park Physical Therapy PLLC
• Boro Park Primary Medical PLLC
• Boro Pharmacy Inc (Boro Pharmacy)
• Boro Test Inc
• Boro Wellness Physical Therapy LLC

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.