Individual provider Active NPI

Svetlana Grinberg, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1144554775
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027267-1 Issued in NY
Practice address
1630 E 15TH St
Brooklyn, NY 11229-1147
Phone
(347) 563-1205
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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 027267-1 NY Primary

Addresses

Primary practice location

1630 E 15TH St
Brooklyn, NY 11229-1147

Mailing address

1630 E 15TH St
Brooklyn, NY 11229-1147
Phone (347) 563-1205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120802000506 NY Practitioner - Physical Therapist in Private Practice 1850547134 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E-W Physical Therapy PCGroup PAC ID 3678750940, 2 clinicians

Practice addresses (Care Compare)

1957 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (718) 874-3568

2079 E 38TH St
3C
Brooklyn, NY 11234-4927
Phone (646) 327-5010

2079 E 38TH St Apt
3C
Brooklyn, NY 11234-4927

2116 Gravesend Neck Rd
Brooklyn, NY 11229-4810
Phone (718) 908-0078

525 Neptune Ave
Suite 1
Brooklyn, NY 11224-4063
Phone (718) 769-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027267NYMDDentist
027267-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Win Win PT PC Physical Therapist CurrentSince Apr 3, 2014 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Fayn Medical PC CurrentSince Dec 1, 2025 Accepting new patients
Homeside Rehab, PT, OT, SLP LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
E-W Physical Therapy PC Physical Therapist CurrentSince Apr 12, 2019 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

2114 Gravesend Neck Rd
Brooklyn, NY 11229
Phone (718) 769-9100

2814 Clarendon Rd
Brooklyn, NY 11226
Phone (718) 469-7363

1957 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 339-0011

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

296 Route 59
Ste 1225
Suffern, NY 10901

Organizations & group practices 7

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1144554775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291147",
            "telephone_number": "347-563-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291147",
            "telephone_number": "347-563-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBERG",
        "first_name": "SVETLANA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027267-1",
            "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 Sep 29, 2009; 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.