NPIMap

Organization Active NPI

Rehabilitation Associates PT and OT, PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1497034748
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023536 Issued in NY
Legal business name
REHABILITATION ASSOCIATES PT AND OT, PLLC
Practice address
2072 Ocean Ave
Suite 101
Brooklyn, NY 11230-7379
Phone
(718) 616-1450
Fax
(718) 743-8186
NPI assigned
Aug 4, 2011
Last updated
Aug 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Mordechai M Shedrowitzky, MS PTNPI 1578662201
Title
Owner/Member
Phone
(718) 616-1450

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 023536 NY Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 009639 NY

Addresses

Primary practice location

2072 Ocean Ave
Suite 101
Brooklyn, NY 11230-7379

Mailing address

2072 Ocean Ave
Suite 101
Brooklyn, NY 11230-7379
Phone (718) 616-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110808000033 NY Part B Supplier - Clinic/Group Practice 6305015421 Receives reassigned benefits from 15 practitioners
Practice locations: Brooklyn, NY; Rockaway Park, NY
O20120924000786 NY DME Supplier - Physician - Physical and Rehabilitation 6305015421 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

165 Division Ave
Brooklyn, NY 11211
Phone (718) 253-8000

425 Kingston Ave
#1
Brooklyn, NY 11225

5901 16th Ave
#S1
Brooklyn, NY 11204

10322 Rockaway Beach Blvd
#1
Rockaway Park, NY 11694

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1497034748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 OCEAN AVE",
            "address_2": "SUITE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307379",
            "telephone_number": "718-616-1450",
            "fax_number": "718-743-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 OCEAN AVE",
            "address_2": "SUITE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307379",
            "telephone_number": "718-616-1450",
            "fax_number": "718-743-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ASSOCIATES PT AND OT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "SHEDROWITZKY",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "718-616-1450",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023536",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009639",
            "primary": false
        }
    ],
    "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 Aug 4, 2011; 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.