Active NPI
Alexandra Vaynblat, P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1609100213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24444
- Practice address
- 1630 East 15 Street
Brooklyn, NY 11229 - Phone
- (718) 787-3235
- NPI assigned
- Sep 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24444 | NY | Primary |
Addresses
Primary practice location
1630 East 15 Street
Brooklyn, NY 11229
Mailing address
1448 E 73Rd St
Brooklyn, NY 11234-5948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24444 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1609100213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 E 73RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 EAST 15 STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-787-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAYNBLAT",
"first_name": "ALEXANDRA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "24444",
"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 Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.