Physical Therapy Associate of Brooklyn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023536 Issued in NY

Legal business name

PHYSICAL THERAPY ASSOCIATE OF BROOKLYN

Practice address

2072 Ocean Ave
Apt 101
Brooklyn, NY 11230-7380

Phone

(718) 616-1450

Fax

(718) 743-8186

NPI assigned

Jun 28, 2005

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mordechai M Shedrowitzky, PTNPI 1578662201

Title

Owner

Phone

(718) 616-1450

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Mordechai M Shedrowitzky, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1578662201
  NPD (past) Authorized official

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1346246923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 OCEAN AVE",
            "address_2": "APT 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307380",
            "telephone_number": "718-616-1450",
            "fax_number": "718-743-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 OCEAN AVE",
            "address_2": "APT 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307380",
            "telephone_number": "718-616-1450",
            "fax_number": "718-743-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATE OF BROOKLYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "SHEDROWITZKY",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-616-1450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "171942",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698335",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02351206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00100706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unknown Phuntsok Lhamo
• Aung Khine Phyoe
• Physical Rehabilitation Consultants Inc
• Physical Therapy and Sports Rehab of Ny PC
• Physical Therapy and Wellness Center
• Physical Therapy Associate of Staten Island PC
• Physical Therapy for All PC
• Physical Therapy for You PC
• Physical Therapy Nest P.C.
• Physical Therapy of Brooklyn PLLC (Excel Physical Therapy)

• 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 Dec 31, 2007; 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.