Gary Krasilovsky, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3015 Issued in CT

Practice address

10 Lookout LN
Westport, CT 06880-5115

Phone

(203) 227-7066

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Krasilovsky Ny PT PLLC

  • Clinic/Center
  • New York, NY
  • NPI 1134847585

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1295955615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOOKOUT LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805115",
            "telephone_number": "203-227-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LOOKOUT LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805115",
            "telephone_number": "203-227-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E 35th St Rm 206A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163823",
            "country_code": "US",
            "telephone_number": "231-564-6389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRASILOVSKY",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-01-16",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003920-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "3015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masha Kogan, DDS
• Lauren Jean Kopal, RN
• Kristina Erica Kops, PSY.D.
• Amalia Kotlyar
• Janet Kranes, APRN
• Robert S Kruger, PH.D.
• Susan Krushinsky, LPCA
• Matthew R Kurimai, PT
• Brian Kuruc
• Deena Kuruvilla, M.D.

• Physical Therapist in Westport, CT
• Providers in Westport, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.

Verify at the official NPI Registry.