Organization Active NPI

Back to Health Physical Occupational and Massage Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1578927240
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015076 Issued in NY
Legal business name
BACK TO HEALTH PHYSICAL OCCUPATIONAL AND MASSAGE THERAPY PLLC
Practice address
2565 E 17TH St
Brooklyn, NY 11235-3530
Phone
(718) 434-4311
Fax
(718) 434-4355
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Yakov OstrovskyNPI 1114965118
Title
President
Phone
(718) 434-4311

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 015076 NY Primary

Addresses

Primary practice location

2565 E 17TH St
Brooklyn, NY 11235-3530

Mailing address

2565 E 17TH St
Brooklyn, NY 11235-3530
Phone (718) 434-4311

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1578927240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353530",
            "telephone_number": "718-434-4311",
            "fax_number": "718-434-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353530",
            "telephone_number": "718-434-4311",
            "fax_number": "718-434-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH PHYSICAL OCCUPATIONAL AND MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "OSTROVSKY",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-434-4311"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015076",
            "primary": true
        }
    ],
    "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 Apr 8, 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.