Individual provider Active NPI

George Sklovskiy, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1205103876
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034416-1 Issued in NY
Practice address
594 Broadway
Suite 1207
New York, NY 10012-3233
Phone
(212) 343-1500
Fax
(212) 343-1594
NPI assigned
Nov 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034416-1 NY Primary

Addresses

Primary practice location

594 Broadway
Suite 1207
New York, NY 10012-3233

Mailing address

1255 5TH Ave
Suite 6 L
New York, NY 10029-3852
Phone (914) 400-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034416-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Mobility PT PLLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Maimonides Medical Center Orthopaedic FPP Past Accepting new patients
Kings Highway Orthopedic Assoc PC PastSince Nov 16, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1205103876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 5TH AVE",
            "address_2": "SUITE 6 L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293852",
            "telephone_number": "914-400-1500",
            "fax_number": "914-478-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 BROADWAY",
            "address_2": "SUITE 1207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123233",
            "telephone_number": "212-343-1500",
            "fax_number": "212-343-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLOVSKIY",
        "first_name": "GEORGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-25",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034416-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.