Active NPI
Marina Kalikhman, MS, DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1649224361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026995
- Practice address
- 79 Brighton 11 STR Apt 6D
Brooklyn, NY 11235 - Phone
- (917) 513-7583
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 026995 | NY | Primary |
Addresses
Primary practice location
79 Brighton 11 STR Apt 6D
Brooklyn, NY 11235
Mailing address
79 Brighton 11 STR Apt 6D
Brooklyn, NY 11235
Phone (917) 513-7583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02905599 | Medicaid | NY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026995 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1649224361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 BRIGHTON 11 STR APT 6D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "917-513-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 BRIGHTON 11 STR APT 6D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "917-513-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIKHMAN",
"first_name": "MARINA",
"credential": "MS, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02905599",
"state": "NY"
}
],
"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 Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.