Individual provider Active NPI

Yaakov Gottlieb, MS P.T.

  • Physical Therapist
  • Briarcliff Manor, NY
National Provider Identifier
1316187883
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031015 Issued in NY
Practice address
584 N State Rd
Briarcliff Manor, NY 10510-1522
Phone
(914) 762-2222
Fax
(914) 762-9175
NPI assigned
Feb 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031015 NY Primary

Addresses

Primary practice location

584 N State Rd
Briarcliff Manor, NY 10510-1522

Mailing address

584 N State Rd
Briarcliff Manor, NY 10510-1522
Phone (914) 762-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090429000361 NY Practitioner - Physical Therapist in Private Practice 6103974209 Reassigns benefits to 1 organization
I20260205003086 NJ Practitioner - Physical Therapist in Private Practice 6103974209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Rehab LLCGroup PAC ID 3375936495, 59 clinicians

Practice addresses (Care Compare)

20 Country Club LN
Colts Neck, NJ 07722-2222
Phone (855) 678-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
031015NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
New York City Physical Therapy, PLLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients

Locations

300 Park Ave
Fl 2
New York, NY 10022
Phone (646) 280-7610

Interoperability endpoints

  • Direct secure messaging: yaakov.gottlieb.1@30097.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1316187883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101522",
            "telephone_number": "914-762-2222",
            "fax_number": "914-762-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101522",
            "telephone_number": "914-762-2222",
            "fax_number": "914-762-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "YAAKOV",
        "name_prefix": "Mr.",
        "credential": "MS P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.