Yg Physical Therapy PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

YG PHYSICAL THERAPY PC

Practice address

649 39TH St
Brooklyn, NY 11232-3101

Phone

(917) 617-4481

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Yelena Gershman, PT

Title

Owner

Phone

(917) 617-4481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1508334343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 OAK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064519",
            "telephone_number": "917-617-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323101",
            "telephone_number": "917-617-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YG PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "GERSHMAN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-617-4481",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abraham Yhakubovich, LBA
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• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.