Individual provider Active NPI

Rostislav Borshchevsky, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1386356558
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027188 Issued in NY
Practice address
2962 Brighton 1St St
Brooklyn, NY 11235-8007
Phone
(718) 368-2113
NPI assigned
Dec 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 027188 NY Primary

Addresses

Primary practice location

2962 Brighton 1St St
Brooklyn, NY 11235-8007

Mailing address

2645 Brown St
Brooklyn, NY 11235-1603
Phone (718) 368-2113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610001210 NY Practitioner - Occupational Therapist in Private Practice 8426590183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab on Wheels OT PT PLLCGroup PAC ID 0042585358, 49 clinicians

Practice addresses (Care Compare)

174 Bay 29TH St
Suite C1
Brooklyn, NY 11214-5020
Phone (718) 395-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027188NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prokinetics Physical Therapy P.C. CurrentSince May 4, 2024 Accepting new patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince May 4, 2024 Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1386356558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 BROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351603",
            "telephone_number": "718-368-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 BRIGHTON 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358007",
            "telephone_number": "718-368-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSHCHEVSKY",
        "first_name": "ROSTISLAV",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027188",
            "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 Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.