Back 2 Shape Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036787 Issued in NY

Legal business name

BACK 2 SHAPE PHYSICAL THERAPY, PLLC

Practice address

2411 East 2ND Street
Brooklyn, NY 11223-6041

Phone

(718) 909-5929

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Machial Kreyner, DPTNPI 1851724405

Title

President

Phone

(718) 909-5929

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Machial Kreyner, D.P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1851724405
  Medicare reassignment NPD Authorized official
• Yevgeny Onefator, DPT

  • Physical Therapist
  • Miami, FL
  • NPI 1710205174

  NY

  Medicare reassignment NPD
• Yuliya Royberman, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1073973137
  NPD

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1144646647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 EAST 2ND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236041",
            "telephone_number": "718-909-5929",
            "fax_number": "718-942-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 EAST 2ND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236041",
            "telephone_number": "718-909-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 SHAPE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "KREYNER",
        "authorized_official_first_name": "MACHIAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-909-5929",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225100000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Bachrach, PH. D.
• Isabelle R. Bachrach, PH.D.
• Natalia Bachurina, PA
• Melissa A Bacigalupo
• Back 2 Shape P.T. & O.T., PLLC
• Back in Motion Group Chiropractic, OT, RN, PT, SLP PLLC
• Back on Your Feet PT, PLLC
• Back to Better Health
• Back to Brooklyn Chiropractic P.C.
• Back to Health Medical PC

• 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 Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.