B.G.Way PT. PC.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

014795 Issued in NY

Legal business name

B.G.WAY PT. PC.

Practice address

2022 Bergen Ave
Brooklyn, NY 11234

Phone

(718) 531-4784

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Sianna A Dimitrova, B.SNPI 1457595514

Title

President/Physical Therapists

Phone

(718) 531-4784

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sianna Dimitrova

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1457595514
  NPD (past) Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1639524820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BERGEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346218",
            "telephone_number": "718-531-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BERGEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-531-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.G.WAY PT. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "DIMITROVA",
        "authorized_official_first_name": "SIANNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPISTS",
        "authorized_official_telephone_number": "718-531-4784",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "014795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.