Organization Active NPI

Magic Hands Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1316093693
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
022504 Issued in NY
Legal business name
MAGIC HANDS PHYSICAL THERAPY PLLC
Practice address
1901 82ND St
Brooklyn, NY 11214-2305
Phone
(718) 490-2416
Fax
(718) 265-4960
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mr. Vladislav Rudner, PTNPI 1033180112
Title
President
Phone
(718) 490-2416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 022504 NY Primary

Addresses

Primary practice location

1901 82ND St
Brooklyn, NY 11214-2305

Mailing address

1901 82ND St
Brooklyn, NY 11214-2305
Phone (718) 490-2416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001534 NY Part B Supplier - Clinic/Group Practice 3678543253 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2130 85th St
Brooklyn, NY 11214
Phone (718) 490-2416

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1316093693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142305",
            "telephone_number": "718-490-2416",
            "fax_number": "718-265-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142305",
            "telephone_number": "718-490-2416",
            "fax_number": "718-265-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC HANDS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "RUDNER",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-490-2416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "022504",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 30, 2013; 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.