Individual provider Active NPI

Arina Kotlyarsky, MS, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1396836854
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62026795 Issued in NY
Practice address
1900 E 22ND St
Brooklyn, NY 11229-1527
Phone
(917) 340-1439
Fax
(718) 382-9010
NPI assigned
Sep 27, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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 62026795 NY Primary

Addresses

Primary practice location

1900 E 22ND St
Brooklyn, NY 11229-1527

Mailing address

1900 E 22ND St
Brooklyn, NY 11229-1527
Phone (917) 340-1439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000182 NY Practitioner - Physical Therapist in Private Practice 2264483346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agk Physical Therapy and Acupuncture PLLCGroup PAC ID 7618376625, 2 clinicians

Practice addresses (Care Compare)

369 Lexington Ave
FL 16
New York, NY 10017-6525
Phone (646) 861-1203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
62026795NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agk Physical Therapy and Acupuncture PLLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Grand Central Acupuncture and Physical Therapy PLLC Physical Therapist Current Accepting new patients
Scott Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

369 Lexington Ave
Fl 16
New York, NY 10017
Phone (646) 771-9991

80 Broad St
Ste 1401
New York, NY 10004
Phone (212) 943-4999

Organizations & group practices 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1396836854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291527",
            "telephone_number": "917-340-1439",
            "fax_number": "718-382-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291527",
            "telephone_number": "917-340-1439",
            "fax_number": "718-382-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYARSKY",
        "first_name": "ARINA",
        "credential": "MS, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62026795",
            "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 Jan 9, 2008; 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.