Individual provider Active NPI

Pavel Khromchenko, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1386651081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019225 Issued in NY
Practice address
3065 Brighton 14TH St
Brooklyn, NY 11235-5501
Phone
(718) 646-8700
Fax
(718) 646-8726
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019225 NY Primary
Physical Therapist 225100000X 40QA00840600 NJ

Addresses

Primary practice location

3065 Brighton 14TH St
Brooklyn, NY 11235-5501

Mailing address

11 Hedgerow LN
Manalapan, NJ 07726-7905
Phone (718) 646-8700

Other identifiers 1

IdentifierTypeStateIssuer
02186065MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040722000106 NY Practitioner - Physical Therapist in Private Practice 1153301098 Reassigns benefits to 3 organizations
I20140107000715 NJ Practitioner - Physical Therapist in Private Practice 1153301098

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State Un of Ny, Stony Brook School of Dental Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Class Physical Therapy, P.C.Group PAC ID 6709844103, 5 clinicians
Absolute Care Physical Therapy Group PLLCGroup PAC ID 0345132239, 3 clinicians

Practice addresses (Care Compare)

111 N 7TH St
Brooklyn, NY 11249-3021
Phone (718) 384-4002

3065 Brighton 14TH St
Brooklyn, NY 11235-5553
Phone (718) 646-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00840600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Medical & Dental Center Inc Single Specialty CurrentSince Mar 1, 2017 Accepting new patients
First Class Physical Therapy, P.C. Single Specialty CurrentSince Jul 5, 2001 Accepting new patients
Absolute Care Physical Therapy Group, PLLC Single Specialty CurrentSince Apr 1, 2010 Accepting new patients
Suny Downstate Medical Center PastSince Mar 1, 2017 Accepting new patients
Healing Quest Rehabilitation PT, P.C. Single Specialty PastSince Jun 29, 2025 Accepting new patients
Scott Physical Therapy P.C. Single Specialty Past Accepting new patients

Locations

111 N 7th St
Brooklyn, NY 11249
Phone (718) 384-4002

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

3065 Brighton 14th St
Brooklyn, NY 11235
Phone (718) 368-3889

3514 Mermaid Ave
Ste 3
Brooklyn, NY 11224
Phone (718) 496-8755

695 Stanley Ave
Brooklyn, NY 11207
Phone (347) 915-0791

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

80 N 3rd St
Brooklyn, NY 11249
Phone (347) 915-0791

225 Broadway
Ste 1420
New York, NY 10007
Phone (212) 349-1246

225 Broadway
Ste 3040
New York, NY 10007
Phone (917) 409-5551

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386651081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HEDGEROW LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267905",
            "telephone_number": "718-646-8700",
            "fax_number": "718-646-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 BRIGHTON 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355501",
            "telephone_number": "718-646-8700",
            "fax_number": "718-646-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHROMCHENKO",
        "first_name": "PAVEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019225",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00840600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02186065",
            "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 Jul 8, 2007; 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.