Individual provider Active NPI

Yelena Vaynshtok, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1255422952
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023330-1 Issued in NY
Practice address
2952 Brighton 3Rd St Ste 202
Brooklyn, NY 11235-7078
Phone
(718) 676-4112
Fax
(718) 676-4134
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 023330-1 NY Primary

Addresses

Primary practice location

2952 Brighton 3Rd St Ste 202
Brooklyn, NY 11235-7078

Mailing address

2952 Brighton 3Rd St Ste 202
Brooklyn, NY 11235-7078
Phone (718) 676-4112

Other identifiers 1

IdentifierTypeStateIssuer
02408359MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001102 NY Practitioner - Physical Therapist in Private Practice 7315928272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2952 Brighton 3Rd St
Suite 202
Brooklyn, NY 11235-7078
Phone (718) 676-4112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023330NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Family Medical Care PC CurrentSince Nov 13, 2018 Accepting new patients
Prime Fitness Physical Therapy PC Physical Therapist CurrentSince Nov 1, 2007 Accepting new patients
Scott Physical Therapy P.C. Physical Therapist Past Accepting new patients
Elite Aquatic Physical Therapy and Rehabilitation, P.C. Physical Therapist PastSince Mar 5, 2009 Accepting new patients

Locations

2952 Brighton 3rd St
Ste 202
Brooklyn, NY 11235
Phone (718) 676-1768

2829 Ocean Pkwy
Bsmt
Brooklyn, NY 11235
Phone (718) 676-4112

65 Broadway
Ste 902
New York, NY 10006
Phone (212) 379-6414

Organizations & group practices 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1255422952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357078",
            "telephone_number": "718-676-4112",
            "fax_number": "718-676-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357078",
            "telephone_number": "718-676-4112",
            "fax_number": "718-676-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNSHTOK",
        "first_name": "YELENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023330-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408359",
            "state": "NY"
        }
    ],
    "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 Mar 31, 2023; 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.