Individual provider Active NPI

Sara Klimovitsky, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1376777615
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020164-1 Issued in NY
Practice address
383 Kingston Ave
# 355
Brooklyn, NY 11213-4333
Phone
(917) 592-1452
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020164-1 NY Primary

Addresses

Primary practice location

383 Kingston Ave
# 355
Brooklyn, NY 11213-4333

Mailing address

383 Kingston Ave
# 355
Brooklyn, NY 11213-4333
Phone (917) 592-1452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020164-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1376777615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 KINGSTON AVE",
            "address_2": "# 355",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134333",
            "telephone_number": "917-592-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 KINGSTON AVE",
            "address_2": "# 355",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134333",
            "telephone_number": "917-592-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMOVITSKY",
        "first_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020164-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 13, 2009; 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.