B.D. Manual Rehab Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

023288 Issued in NY

Legal business name

B.D. MANUAL REHAB PHYSICAL THERAPY

Practice address

3099 Coney Island Ave
3-Rd Floor
Brooklyn, NY 11235-6305

Phone

(347) 739-4583

Fax

(718) 228-2560

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Boris Dolub, PTNPI 1063556462

Title

Physical Therapist

Phone

(347) 739-4583

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Boris Dolub, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1063556462
  Authorized official Same address or phone
• Irina Ryabchinskaya

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1487800785
  NPD (past)
• Anna Shnayder, PTA

  • Physical Therapy Assistant
  • Brooklyn, NY
  • NPI 1508490442
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1598749277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BEACH 127TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941727",
            "telephone_number": "347-739-4583",
            "fax_number": "718-228-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 CONEY ISLAND AVE",
            "address_2": "3-RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356305",
            "telephone_number": "347-739-4583",
            "fax_number": "718-228-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.D. MANUAL REHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "DOLUB",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-739-4583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "023288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.