Organization Active NPI

Determination Physical Therapy P.C.

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1376856005
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303151 Issued in NY
Legal business name
DETERMINATION PHYSICAL THERAPY P.C.
Practice address
7160 Yellowstone Blvd
Forest Hills, NY 11375-4114
Phone
(718) 268-2888
Fax
(718) 268-2889
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Yakov Simkhayev, DPTNPI 1699928465
Title
Physical Therapist
Phone
(718) 268-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 303151 NY Primary

Addresses

Primary practice location

7160 Yellowstone Blvd
Forest Hills, NY 11375-4114

Mailing address

7160 Yellowstone Blvd
Forest Hills, NY 11375-4114
Phone (718) 268-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110113000408 NY Part B Supplier - Clinic/Group Practice 2860681475 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

7160 Yellowstone Blvd
Forest Hills, NY 11375
Phone (518) 699-7178

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1376856005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754114",
            "telephone_number": "718-268-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754114",
            "telephone_number": "718-268-2888",
            "fax_number": "718-268-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETERMINATION PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "SIMKHAYEV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-268-2888",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "303151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.