Vital Rehab LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

VITAL REHAB LLC

Practice address

3165 Nostrand Ave Apt 4E
Brooklyn, NY 11229-3243

Phone

(646) 872-8288

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Eugene Israilov, PT, DPTNPI 1942778568

Title

Physical Therapist

Phone

(646) 872-8288

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.

• Eugene Israilov, PT, DPT

  • Physical Therapist
  • Mineola, NY
  • NPI 1942778568
  NPD Authorized official

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1679195499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 NOSTRAND AVE APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293243",
            "telephone_number": "646-872-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 NOSTRAND AVE APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293243",
            "telephone_number": "646-872-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "ISRAILOV",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-872-8288",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Medical Services PC
• Vital Medical Services PC
• Vital Network LLC
• Vital OT LLC
• Vital Path LLC
• Jacques Vital-Herne, M.D.
• Imelda L Vital, M.D.
• Louis Gessai Vital, MD
• Vitale Counseling LCSW PC
• Christine M Vitale, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.