Individual provider Active NPI

Mordechai M Shedrowitzky, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1578662201
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023536 Issued in NY
Practice address
1059 E 28TH St
Brooklyn, NY 11210-3741
Phone
(718) 781-0567
NPI assigned
Sep 21, 2006
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 023536 NY Primary

Addresses

Primary practice location

1059 E 28TH St
Brooklyn, NY 11210-3741

Mailing address

1059 E 28TH St
Brooklyn, NY 11210-3741
Phone (718) 781-0567

Other identifiers 1

IdentifierTypeStateIssuer
QP3941OtherNYMEDICARE NATIONAL GOVERNMENT SERVICES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204001007 NY Practitioner - Physical Therapist in Private Practice 0244135978 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates PT and OT, PLLCGroup PAC ID 6305015421, 7 clinicians
CH Rehabilitation Associates PT and OT PLLCGroup PAC ID 9133550817, 7 clinicians

Practice addresses (Care Compare)

2072 Ocean Ave
Apt 101
Brooklyn, NY 11230-7384
Phone (718) 616-1450

425 Kingston Ave
Brooklyn, NY 11225-3127
Phone (718) 616-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023536NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associate PT PC CurrentSince Mar 1, 2007 Accepting new patients
Rehabilitation Associates PT and OT, PLLC Physical Therapist CurrentSince Mar 23, 2011 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 8, 2025 Accepting new patients
CH Rehabilitation Associates PT & OT PLLC Physical Therapist CurrentSince Jan 28, 2020 Accepting new patients
Rockaway Park Rehab Assoc PT & OT Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Physical Therapy Associate of Brooklyn Physical Therapist PastSince Dec 4, 2003 Accepting new patients
Lawrence Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

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

425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450

30 Park Ave
Ste 4
New York, NY 10016
Phone (718) 616-1450

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

10322 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (516) 937-8975

Organizations & group practices 7

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1578662201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103741",
            "telephone_number": "718-781-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103741",
            "telephone_number": "718-781-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDROWITZKY",
        "first_name": "MORDECHAI",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NATIONAL GOVERNMENT SERVICES",
            "identifier": "QP3941",
            "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 Sep 10, 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.