Classical Rehabilitation Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CLASSICAL REHABILITATION PHYSICAL THERAPY PC

Practice address

501 Brighton Beach Ave FL 2
Brooklyn, NY 11235-6403

Phone

(929) 423-7305

NPI assigned

Jan 16, 2019

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vladislav Ravitski, PTNPI 1922160480

Title

Physical Therapist

Phone

(929) 423-7305

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Vladislav Ravitski, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922160480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1225502875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 RARITAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052345",
            "telephone_number": "718-667-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BRIGHTON BEACH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356403",
            "telephone_number": "929-423-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSICAL REHABILITATION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "RAVITSKI",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "929-423-7305",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1922160480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 23, 2019; 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.