Individual provider Active NPI

Alla Khantsis

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1639408743
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0319971 Issued in NY
Practice address
263 7TH Ave Apt 2a
Brooklyn, NY 11215-3693
Phone
(718) 369-8000
Fax
(718) 679-9598
NPI assigned
Dec 18, 2009
Last updated
Jun 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0319971 NY Primary

Addresses

Primary practice location

263 7TH Ave Apt 2a
Brooklyn, NY 11215-3693

Mailing address

263 7TH Ave Apt 2a
Brooklyn, NY 11215-3693
Phone (718) 369-8000

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1639408743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153693",
            "telephone_number": "718-369-8000",
            "fax_number": "718-679-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 7TH AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153693",
            "telephone_number": "718-369-8000",
            "fax_number": "718-679-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANTSIS",
        "first_name": "ALLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0319971",
            "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 Jun 10, 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.