E-W Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021243-1 Issued in NY

Legal business name

E-W PHYSICAL THERAPY PC

Practice address

1957 Coney Island Ave
957 Coney Island Ave
Brooklyn, NY 11223-2328

Phone

(718) 339-6425

Fax

(718) 715-1437

NPI assigned

Apr 15, 2011

Organization subpart

No

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

Authorized official

Name

Miss Tatyana Brisman, PHYSICAL THERAPIST

Title

President

Phone

(718) 344-7637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Svetlana Grinberg, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1144554775
  Medicare reassignment Care Compare group NPD
• Jadwida Kutyla, PT

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1740516244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1649560244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 CONEY ISLAND AVE",
            "address_2": "957 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232328",
            "telephone_number": "718-339-6425",
            "fax_number": "718-715-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 CONEY ISLAND AVE",
            "address_2": "957 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232328",
            "telephone_number": "718-339-6425",
            "fax_number": "718-715-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-W PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "BRISMAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-344-7637",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021243-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.