NPIMap

Organization Active NPI

Pro-Health Physical Therapy Services PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1174743017
Registry record updated Nov 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0189691 Issued in NY
Legal business name
PRO-HEALTH PHYSICAL THERAPY SERVICES PLLC
Practice address
2925 W 5TH St Ste 52
Brooklyn, NY 11224-3962
Phone
(917) 749-3971
NPI assigned
Apr 25, 2007
Last updated
Nov 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2022

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

Authorized official

Name
Sergey YarovoyNPI 1295885705
Title
Physical Therapist
Phone
(917) 749-3971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0189691 NY Primary

Addresses

Primary practice location

2925 W 5TH St Ste 52
Brooklyn, NY 11224-3962

Mailing address

840 E 8TH St Apt 5F
Brooklyn, NY 11230-2748
Phone (917) 749-3971

National Provider Directory

National Provider Directory

Locations

1 School St
Ste 202
Glen Cove, NY 11542
Phone (516) 609-9017

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669507200000",
    "number": "1174743017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 8TH ST APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302748",
            "telephone_number": "917-749-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W 5TH ST STE 52",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243962",
            "telephone_number": "917-749-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH PHYSICAL THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A",
        "authorized_official_last_name": "YAROVOY",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-749-3971"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0189691",
            "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 Nov 27, 2022; 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.