Active NPI
Yitzchok Kolodny, PT
- Physical Therapist
- Boynton Beach, FL
National Provider Identifier
1285871095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031038
- Practice address
- 10815 Lake Wynds CT
Boynton Beach, FL 33437-3238 - Phone
- (516) 220-0649
- NPI assigned
- Jan 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34461 | FL | |
| Physical Therapist | 225100000X | 031038 | NY | Primary |
Addresses
Primary practice location
10815 Lake Wynds CT
Boynton Beach, FL 33437-3238
Mailing address
10815 Lake Wynds CT
Boynton Beach, FL 33437-3238
Phone (516) 220-0649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031038 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gait Mechanics, Inc | Single Specialty | Current | Accepting new patients |
| Yk Physical Therapy Inc | Single Specialty | Current | Accepting new patients |
| Nysha Inc | Single Specialty | Past | Accepting new patients |
| Stride Therapy Solutions Inc | Physical Therapist | Past | Accepting new patients |
| Achieve PT OT SLP PLLC | Physical Therapist | Past | Accepting new patients |
Locations
1874 W Hillsboro Blvd
Ste F
Deerfield Beach, FL 33442
Phone (954) 426-4544
220 S Dixie Hwy
Ste 4
Lake Worth Beach, FL 33460
Phone (561) 429-5086
Organizations & group practices 5
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.
-
- Physical Therapist
- Valley Stream, NY
- NPI 1023401841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1285871095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10815 LAKE WYNDS CT",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373238",
"telephone_number": "516-220-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10815 LAKE WYNDS CT",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373238",
"telephone_number": "516-220-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLODNY",
"first_name": "YITZCHOK",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-15",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34461",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.