Organization Active NPI

Ocean Parkway Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1528415940
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OCEAN PARKWAY PHYSICAL THERAPY PC
Practice address
3044 Coney Island Ave
Suite 1
Brooklyn, NY 11235-5660
Phone
(917) 957-8100
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Dr. Anatoly Starosta, P.T.
Title
Owner
Phone
(917) 957-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 018713 NY
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3044 Coney Island Ave
Suite 1
Brooklyn, NY 11235-5660

Mailing address

3080 W 1St St
Unit 201
Brooklyn, NY 11224-3736
Phone (917) 957-8100

Other identifiers 2

IdentifierTypeStateIssuer
1205896040OtherNYNPI INDIVIDUAL
02193199MedicaidNY

National Provider Directory

National Provider Directory

Locations

3044 Coney Island Ave
Ste 1
Brooklyn, NY 11235
Phone (347) 909-3607

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1528415940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 W 1ST ST",
            "address_2": "UNIT 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243736",
            "telephone_number": "917-957-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 CONEY ISLAND AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355660",
            "telephone_number": "917-957-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARKWAY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "STAROSTA",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-957-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "018713",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1205896040",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02193199",
            "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 May 16, 2016; 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.