Organization Active NPI

Healthsource of Brooklyn

  • Physical Therapist
  • Brooklyn, OH
National Provider Identifier
1265685168
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHSOURCE OF BROOKLYN
Practice address
4370 Ridge Rd
Brooklyn, OH 44144-2717
Phone
(216) 348-7246
NPI assigned
Oct 23, 2008
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Maziar Nejad, DC
Title
President
Phone
(216) 398-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4370 Ridge Rd
Brooklyn, OH 44144-2717

Mailing address

4370 Ridge Rd
Brooklyn, OH 44144-2717
Phone (216) 348-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1265685168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 RIDGE RD",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441442717",
            "telephone_number": "216-348-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 RIDGE RD",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441442717",
            "telephone_number": "216-348-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF BROOKLYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "NEJAD",
        "authorized_official_first_name": "MAZIAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-398-7246",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.