Active NPI
Darya Bakushyna, DR
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1679282776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049712
- Practice address
- 1577 E 17TH St Apt 2J
Brooklyn, NY 11230-6747 - Phone
- (917) 615-5321
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 049712 | NY | Primary |
Addresses
Primary practice location
1577 E 17TH St Apt 2J
Brooklyn, NY 11230-6747
Mailing address
1577 E 17TH St Apt 2J
Brooklyn, NY 11230-6747
Phone (917) 615-5321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049712 | Other | NY | THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT |
Other names 1
- Dr. Darya Bakushyna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Physical and Occupational Therapy Services, PLLC | Single Specialty | Current | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba New York Therapy And Wellness
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1679282776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 E 17TH ST APT 2J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306747",
"telephone_number": "917-615-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 E 17TH ST APT 2J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306747",
"telephone_number": "917-615-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKUSHYNA",
"first_name": "DARYA",
"credential": "DR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "049712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT",
"identifier": "049712",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DARYA",
"last_name": "BAKUSHYNA",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Nov 17, 2022; 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.