NPIMap

Organization Active NPI

Family Physical Therapy of Ny, LLP

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1629245188
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FAMILY PHYSICAL THERAPY OF NY, LLP
Practice address
3036 Avenue U
Brooklyn, NY 11229-5127
Phone
(718) 732-3869
Fax
(347) 342-3123
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Stavros Karoutsos, MS, PTNPI 1144312232
Title
General Partner
Phone
(718) 732-3869

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3036 Avenue U
Brooklyn, NY 11229-5127

Mailing address

3036 Avenue U
Brooklyn, NY 11229-5127
Phone (718) 732-3869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081106000139 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345309373 Receives reassigned benefits from 5 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2555 Ocean Ave
Ste 2
Brooklyn, NY 11229
Phone (718) 732-3869

3036 Avenue U
Brooklyn, NY 11229
Phone (718) 732-3869

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1629245188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295127",
            "telephone_number": "718-732-3869",
            "fax_number": "347-342-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295127",
            "telephone_number": "718-732-3869",
            "fax_number": "347-342-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICAL THERAPY OF NY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "KAROUTSOS",
        "authorized_official_first_name": "STAVROS",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "718-732-3869",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Feb 26, 2010; 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.