Organization Active NPI

Park Sports Physical Therapy and Park Slope Occupational Therapy, PLLC

  • Hand Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1366600488
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
013213 Issued in NY
Legal business name
PARK SPORTS PHYSICAL THERAPY AND PARK SLOPE OCCUPATIONAL THERAPY, PLLC
Practice address
325 Garfield PL
Brooklyn, NY 11215-2351
Phone
(718) 230-1180
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Boris Gilzon, PT, CHT
Title
President
Phone
(718) 230-1180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 011045 NY
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 013213 NY Primary

Addresses

Primary practice location

325 Garfield PL
Brooklyn, NY 11215-2351

Mailing address

325 Garfield PL
Brooklyn, NY 11215-2351
Phone (718) 230-1180

Other identifiers 2

IdentifierTypeStateIssuer
A804120OtherNYOXFORD ID#
QU9581OtherNYEMPIRE BLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1366600488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GARFIELD PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152351",
            "telephone_number": "718-230-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GARFIELD PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152351",
            "telephone_number": "718-230-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SPORTS PHYSICAL THERAPY AND PARK SLOPE OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "GILZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-230-1180",
        "authorized_official_credential": "PT, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011045",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "013213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID#",
            "identifier": "A804120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHEILD",
            "identifier": "QU9581",
            "state": "NY"
        }
    ],
    "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 Aug 6, 2008; 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.