Organization Active NPI

Yeru Rehab PT PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1255390332
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
023756-1 Issued in NY
Legal business name
YERU REHAB PT PC
Practice address
1250 40TH St
Brooklyn, NY 11218-1937
Phone
(718) 288-3109
Fax
(718) 633-7061
NPI assigned
Mar 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Mr. Solomon Mayer, PT
Title
Physical Therapist
Phone
(718) 288-3109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 023756-1 NY Primary

Addresses

Primary practice location

1250 40TH St
Brooklyn, NY 11218-1937

Mailing address

1250 40TH St
Brooklyn, NY 11218-1937
Phone (718) 288-3109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1255390332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 40TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181937",
            "telephone_number": "718-288-3109",
            "fax_number": "718-633-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 40TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181937",
            "telephone_number": "718-288-3109",
            "fax_number": "718-633-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YERU REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-19",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-288-3109",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "023756-1",
            "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 Nov 21, 2017; 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.