Organization Active NPI

Azimuth Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1205086758
Registry record updated Sep 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AZIMUTH PHYSICAL THERAPY, PC
Practice address
2882 W 15TH St
1St. Floor
Brooklyn, NY 11224-2744
Phone
(718) 336-1777
NPI assigned
Sep 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2008

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

Authorized official

Name
Dr. Boris Zaretsky, DPT
Title
President
Phone
(917) 442-7763

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Ergonomics Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251E1200X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2882 W 15TH St
1St. Floor
Brooklyn, NY 11224-2744

Mailing address

69 8TH Ave
Suite 31
New York, NY 10014-1224
Phone (917) 442-7763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081222000530 NY Part B Supplier - Clinic/Group Practice 4385706548 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

2882 W 15th St
Ste 1
Brooklyn, NY 11224
Phone (718) 766-5419

8 W 38th St
Rm 503
New York, NY 10018
Phone (212) 687-0020

NPI Registry JSON

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221955200000",
    "number": "1205086758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 8TH AVE",
            "address_2": "SUITE 31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141224",
            "telephone_number": "917-442-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 W 15TH ST",
            "address_2": "1ST. FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242744",
            "telephone_number": "718-336-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIMUTH PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-21",
        "last_updated": "2008-09-21",
        "status": "A",
        "authorized_official_last_name": "ZARETSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-442-7763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 21, 2008; 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.