Pinnacle Therapy SLP OT PT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032949-1 Issued in NY

Legal business name

PINNACLE THERAPY SLP OT PT PLLC

Practice address

3208 Avenue K
Brooklyn, NY 11210-4141

Phone

(917) 306-2509

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Michael Khavis

Title

Director

Phone

(917) 306-2509

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1326392341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104141",
            "telephone_number": "917-306-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104141",
            "telephone_number": "917-306-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE THERAPY SLP OT PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "KHAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-306-2509"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032949-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006595-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Pinkusovich, MD
• Matvey Pinkusovich, MD
• Svetlana Pinkusovich, M.D.
• Pinnacle Healthcare Management
• Pinnacle Medical Care, PLLC
• Parashuram Pinnapureddy
• Ean Matthew Pino, LPN
• John Martin Pino, LMSW
• Karen Pino, PTA
• Sharon G Pinsker, LCSW

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.