Park Sports Physical Therapy and Park Slope Occupational Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011045 Issued in NY

Legal business name

PARK SPORTS PHYSICAL THERAPY AND PARK SLOPE OCCUPATIONAL THERAPY PLLC

Doing business as

park sports physical therapy and hand rehabilitation

Practice address

670 6TH Ave
Brooklyn, NY 11215-6316

Phone

(718) 369-2560

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Boris Gilzon, PT CHT

Title

President

Phone

(718) 369-2560

Specialties & licenses 2

Addresses

Other names 1

• park sports physical therapy and hand rehabilitation Doing business as

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1194984799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156316",
            "telephone_number": "718-369-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156316",
            "telephone_number": "718-369-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SPORTS PHYSICAL THERAPY AND PARK SLOPE OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "GILZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-369-2560",
        "authorized_official_credential": "PT CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011045",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "park sports physical therapy and hand rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Slope Psychological Services, LLC
• Park Slope Rehab Physical Therapy
• Park Slope Solutions LLC
• Park Slope Specialized Services LLC
• Park Slope Volunteer Ambulance Corps Inc
• Park Sports Physical Therapy and Park Slope Occupational Therapy, PLLC
• Park Surgical Co.,Inc.
• Park Vascular LLC
• Austin Park, MS, RDN
• Christie Sunjae Park

• 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 9, 2008; 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.