Active NPI
Park Sports Physical Therapy and Park Slope Occupational Therapy, PLLC
- Hand Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1366600488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 013213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011045 | NY | |
| Hand Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A804120 | Other | NY | OXFORD ID# |
| QU9581 | Other | NY | EMPIRE BLUE CROSS BLUE SHEILD |
National Provider Directory
National Provider DirectoryNPI 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
- Park Slope Rehab Physical Therapy
- Park Slope Solutions LLC
- Park Slope Specialized Services LLC
- Park Slope Volunteer Ambulance Corps Inc
- Park Sports Physical Therapy and Park Slope Occupational Therapy PLLC
- Park Surgical Co.,Inc.
- Park Vascular LLC
- Austin Park, MS, RDN
- Christie Sunjae Park
- Christine Park
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.