Organization Active NPI

Rehab One Physical Therapy, P.C.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1588747760
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB ONE PHYSICAL THERAPY, P.C.
Practice address
503 5TH Avenue St 2a
Brooklyn, NY 11215
Phone
(718) 254-0101
Fax
(718) 254-0182
NPI assigned
Oct 23, 2006
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Igor OlevskyNPI 1134291628
Title
RPT
Phone
(917) 696-8896

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 Therapist 225100000X Primary

Addresses

Primary practice location

503 5TH Avenue St 2a
Brooklyn, NY 11215

Mailing address

100 Clinton St
Suite LL2
Brooklyn, NY 11201-4227
Phone (718) 254-0101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000152 NY Part B Supplier - Clinic/Group Practice 4385533371 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Clinton St
Ste LL2
Brooklyn, NY 11201
Phone (718) 254-0101

348 13th St
Ste 205
Brooklyn, NY 11215
Phone (718) 788-3800

503 5th Ave
#2A
Brooklyn, NY 11215
Phone (718) 254-0101

Practitioners & affiliated clinicians

Practitioners 5

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1588747760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLINTON ST",
            "address_2": "SUITE LL2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014227",
            "telephone_number": "718-254-0101",
            "fax_number": "718-254-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 5TH AVENUE ST 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-254-0101",
            "fax_number": "718-254-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ONE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "OLEVSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "RPT",
        "authorized_official_telephone_number": "917-696-8896"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.