Parksports Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011045 Issued in NY

Legal business name

PARKSPORTS PHYSICAL THERAPY, PLLC

Practice address

670 6TH Ave
Brooklyn, NY 11215

Phone

(718) 230-1180

NPI assigned

Mar 13, 2007

Last updated

Jun 11, 2018By 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

Boris Gilzon, PTNPI 1023147998

Title

President

Phone

(718) 230-1180

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris Gilzon, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1023147998
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1144353897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PROSPECT PARK W APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154507",
            "telephone_number": "718-230-1180",
            "fax_number": "718-230-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-230-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSPORTS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "GILZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-230-1180",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "00145",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02447556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkside Medical Office, PLLC
• Parkside Medical Services PC
• Parkslope Eye Care, Inc
• Parkslope Eye Studio, Inc.
• Parkslopeanesthesia Associates
• Parksports Physical Therapy, PLLC
• Parksports Physical Therapy, PLLC
• Parkville Food Center LLC
• Parkville Medical Health PC
• Parkville Medical PC (Parcare Medical & Health Center)

• 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 Jun 11, 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.