Active NPI
Mariya Kleynerman, M.S.,P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1275683807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019226
- Practice address
- 3019 Brighton 1St St
Brooklyn, NY 11235-8008 - Phone
- (718) 743-9700
- Fax
- (718) 332-3511
- NPI assigned
- Jan 12, 2007
- Last updated
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 019226 | NY | Primary |
Addresses
Primary practice location
3019 Brighton 1St St
Brooklyn, NY 11235-8008
Mailing address
136 Norfolk St
Brooklyn, NY 11235-2306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01958098 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019226 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1275683807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 NORFOLK ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 BRIGHTON 1ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358008",
"telephone_number": "718-743-9700",
"fax_number": "718-332-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEYNERMAN",
"first_name": "MARIYA",
"credential": "M.S.,P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01958098",
"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 Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.