Individual provider Active NPI

Yehuda Y Litvintchouk, PT

  • Physical Therapist
  • Cedarhurst, NY
National Provider Identifier
1235452020
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032431 Issued in NY
Practice address
396 Oakland Ave
Cedarhurst, NY 11516-1320
Phone
(718) 902-4866
Fax
(516) 791-1007
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032431 NY Primary
Pediatric Physical Therapist 2251P0200X 032431 NY

Addresses

Primary practice location

396 Oakland Ave
Cedarhurst, NY 11516-1320

Mailing address

396 Oakland Ave
Cedarhurst, NY 11516-1320
Phone (718) 902-4866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000004 NY Practitioner - Physical Therapist in Private Practice 6800928656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Rockaway Park Physical Therapy PLLCGroup PAC ID 6507022712, 2 clinicians
Park Physical Therapy PLLCGroup PAC ID 7517211345, 3 clinicians

Practice addresses (Care Compare)

6805 Main St
Flushing, NY 11367-1310
Phone (718) 928-9636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032431NYMDPhysical Therapist

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Park Physical Therapy PLLC CurrentSince Nov 28, 2011 Accepting new patients
Boro Park Physical Therapy PLLC Physical Therapist CurrentSince Apr 1, 2010 Accepting new patients

Locations

5608 New Utrecht Ave
Brooklyn, NY 11219
Phone (646) 725-4026

6805 Main St
Flushing, NY 11367
Phone (718) 263-2606

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1235452020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 OAKLAND AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161320",
            "telephone_number": "718-902-4866",
            "fax_number": "516-791-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 OAKLAND AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161320",
            "telephone_number": "718-902-4866",
            "fax_number": "516-791-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVINTCHOUK",
        "first_name": "YEHUDA",
        "middle_name": "Y",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032431",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "032431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.