Active NPI
Steven Vyacheslav Gutin, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021863
- Practice address
- 726 Ave Z
Brooklyn, NY 11223 - Phone
- (718) 872-7373
- NPI assigned
- Jun 5, 2006
- Last updated
- Feb 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021863 | NY | Primary |
Addresses
Primary practice location
726 Ave Z
Brooklyn, NY 11223
Mailing address
1711 Sheepshead Bay Road
Apt 5a
Brooklyn, NY 11235
Phone (347) 922-4349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2334 E 28TH St
Brooklyn, NY 11229-5034
Phone (347) 922-4349
3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711
6401 18TH Ave
Brooklyn, NY 11204-3788
Phone (347) 922-4349
6407 18TH Ave
Brooklyn, NY 11204-3730
Phone (718) 621-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Park One Medical, PC | Current | Accepting new patients | |
| A2Z Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Mermaid Operating Co, LLC | Physical Therapist | Past | Accepting new patients |
| Little Achievers Ei, LLC | Past | Accepting new patients | |
| Anarafena Medical, PLLC | Past | Accepting new patients |
Locations
9229 Queens Blvd
Ste 2C
Rego Park, NY 11374
Phone (718) 459-1931
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1558461335
-
- Physical Therapist
- Brooklyn, NY
- NPI 1598165508
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
-
- Physical Therapist
- Rego Park, NY
- NPI 1982092904
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1942396494
-
dba Little Achievers
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1144832809
-
- Specialist
- Flushing, NY
- NPI 1346552387
-
dba Mermaid Health Center
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053379362
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1255370276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 SHEEPSHEAD BAY ROAD",
"address_2": "APT 5A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "347-922-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 AVE Z",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11223",
"telephone_number": "718-872-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIN",
"first_name": "STEVEN",
"middle_name": "VYACHESLAV",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021863",
"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 Feb 21, 2012; 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.