Individual provider Active NPI

Ihor Mykola Strutynsky, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1609844638
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013249-1 Issued in NY
Practice address
2621 Palisade Ave
Apt 10D
Bronx, NY 10463-6106
Phone
(718) 884-6783
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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 013249-1 NY Primary

Addresses

Primary practice location

2621 Palisade Ave
Apt 10D
Bronx, NY 10463-6106

Mailing address

2621 Palisade Avenue
Apt 10D
Bronx, NY 10463-6110
Phone (718) 884-6783

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

LicenseStateTypeSpecialty
013249-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1609844638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 PALISADE AVENUE",
            "address_2": "APT 10D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636110",
            "telephone_number": "718-884-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 PALISADE AVE",
            "address_2": "APT 10D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636106",
            "telephone_number": "718-884-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUTYNSKY",
        "first_name": "IHOR",
        "middle_name": "MYKOLA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013249-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.