Dekhtyarev Physical Therapy PC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

030526 Issued in NY

Legal business name

DEKHTYAREV PHYSICAL THERAPY PC

Practice address

1811 Quentin Rd
Brooklyn, NY 11229-1343

Phone

(917) 538-5175

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Aleksandr Dekhtyarev, DPT

Title

President

Phone

(917) 538-5175

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1508099417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 E 18TH ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293836",
            "telephone_number": "917-538-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291343",
            "telephone_number": "917-538-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKHTYAREV PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "DEKHTYAREV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "19175385175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "030526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Dekhovich, O.T.A.
• Elina Dekhtyar, SLP
• Ella Dekhtyar, DDS
• Irina Dekhtyar, PT
• Yuliya Dekhtyar, PA
• Aleksandr Dekhtyarev, DPT
• Sandra Deklich, DDS
• Ilona Dektor, CCC-SLP
• Jenna-Ann Del Borrello, MS RDN CDN CDCES
• Noelani Shanel Del Carmen

• Physical Disabilities Residential Treatment Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.