Individual provider Active NPI

Anna Kuznetsova, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1124332614
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032707 Issued in NY
Practice address
1632 E 16TH St
Brooklyn, NY 11229-1108
Phone
(718) 336-0330
Fax
(718) 336-0073
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032707 NY Primary

Addresses

Primary practice location

1632 E 16TH St
Brooklyn, NY 11229-1108

Mailing address

1632 E 16TH St
Brooklyn, NY 11229-1108
Phone (718) 336-0330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000723 NY Practitioner - Physical Therapist in Private Practice 9638293160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanta Medical P.C.Group PAC ID 9335295401, 2 clinicians
Leonid Volfinzon Medical PCGroup PAC ID 2567524705, 2 clinicians

Practice addresses (Care Compare)

3140 Coney Island Ave
Suite 3
Brooklyn, NY 11235-6244
Phone (718) 934-8484

728 Ocean View Ave
Suite 1
Brooklyn, NY 11235-6308
Phone (718) 787-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032707NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanta Medical P.C. CurrentSince Mar 28, 2018 Accepting new patients
Leonid Volfinzon Medical P.C. CurrentSince Jun 1, 2016 Accepting new patients
Advanced Pain Care Medical, P.C. CurrentSince Apr 9, 2018 Accepting new patients
Kaplan PT PLLC Physical Therapist PastSince Apr 9, 2018 Accepting new patients
Lev Barsky Medical P.C. PastSince Jun 1, 2016 Accepting new patients
A Merryland Operating LLC Past Accepting new patients
Aqua Health Physical Therapy PC Physical Therapist PastSince Jun 27, 2021 Accepting new patients
Mermaid Management Inc PastSince Jun 1, 2011 Accepting new patients
East Shore Medical PC Past Accepting new patients

Locations

3140 Coney Island Ave
Ste 3
Brooklyn, NY 11235
Phone (718) 934-8484

Organizations & group practices 9

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1124332614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291108",
            "telephone_number": "718-336-0330",
            "fax_number": "718-336-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291108",
            "telephone_number": "718-336-0330",
            "fax_number": "718-336-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNETSOVA",
        "first_name": "ANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032707",
            "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 24, 2015; 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.