Organization Active NPI

PT for All PC

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1184941395
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029811-1 Issued in NY
Legal business name
PT FOR ALL PC
Practice address
9952 66TH Rd Lbby C
Rego Park, NY 11374-4461
Phone
(718) 263-6288
Fax
(646) 395-1895
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Fiana Yaroslavskaya, MPTNPI 1376721472
Title
President
Phone
(718) 263-6388

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 Therapist 225100000X 029811-1 NY Primary

Addresses

Primary practice location

9952 66TH Rd Lbby C
Rego Park, NY 11374-4461

Mailing address

9952 66TH Rd Apt 9Z
Rego Park, NY 11374-4429
Phone (718) 263-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101206000409 NY Part B Supplier - Clinic/Group Practice 7214124189 Receives reassigned benefits from 5 practitioners
Practice locations: Rego Park, NY
O20120919000009 CT Part B Supplier - Clinic/Group Practice 7214124189 Receives reassigned benefits from 1 practitioner
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Locations

9952 66th Rd
#C
Rego Park, NY 11374
Phone (718) 263-6388

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1184941395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9952 66TH RD APT 9Z",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744429",
            "telephone_number": "718-263-6388",
            "fax_number": "646-395-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9952 66TH RD LBBY C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744461",
            "telephone_number": "718-263-6288",
            "fax_number": "646-395-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT FOR ALL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "YAROSLAVSKAYA",
        "authorized_official_first_name": "FIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-263-6388",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029811-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.