Individual provider Active NPI

Yelena Gremban, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1215216189
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033986-1 Issued in NY
Practice address
164 20TH St
Suite 2a
Brooklyn, NY 11232-1180
Phone
(347) 529-6465
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 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 033986-1 NY Primary

Addresses

Primary practice location

164 20TH St
Suite 2a
Brooklyn, NY 11232-1180

Mailing address

164 20TH St
Suite 2a
Brooklyn, NY 11232-1180
Phone (347) 529-6465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602001125 NY Practitioner - Physical Therapist in Private Practice 3678796125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Link Home Therapy Services of Ny-PT OT SLP PLLCGroup PAC ID 2466704713, 42 clinicians

Practice addresses (Care Compare)

108 S Franklin Ave
Suite 10
Valley Stream, NY 11580-6105
Phone (718) 650-6230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033986-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Jul 20, 2019 Accepting new patients
Sarah Whiteside Physical Therapy PLLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

1502 8th Ave
Brooklyn, NY 11215
Phone (718) 768-0002

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

945 N Central Ave
Woodmere, NY 11598
Phone (267) 223-4867

Organizations & group practices 2

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1215216189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 20TH ST",
            "address_2": "SUITE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321180",
            "telephone_number": "347-529-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 20TH ST",
            "address_2": "SUITE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321180",
            "telephone_number": "347-529-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMBAN",
        "first_name": "YELENA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033986-1",
            "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 Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.