NPIMap

Organization Active NPI

Shikum PT PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1326581406
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SHIKUM PT PC
Practice address
69 8TH Ave
Suite 31
New York, NY 10014-1224
Phone
(917) 442-7763
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Mr. Boris Zaretsky, DPTNPI 1477562494
Title
DPT
Phone
(917) 442-7763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NY Primary

Addresses

Primary practice location

69 8TH Ave
Suite 31
New York, NY 10014-1224

Mailing address

69 8TH Ave
Suite 31
New York, NY 10014-1224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1326581406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 8TH AVE",
            "address_2": "SUITE 31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 8TH AVE",
            "address_2": "SUITE 31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141224",
            "telephone_number": "917-442-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIKUM PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "ZARETSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "917-442-7763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.