Individual provider Active NPI

Irina Baltachi, PT

  • Physical Therapist
  • Arverne, NY
National Provider Identifier
1699430744
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047964 Issued in NY
Practice address
6926 Gouverneur Ave
Arverne, NY 11692-1057
Phone
(347) 744-3082
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 047964 NY Primary

Addresses

Primary practice location

6926 Gouverneur Ave
Arverne, NY 11692-1057

Mailing address

6926 Gouverneur Ave
Arverne, NY 11692-1057
Phone (347) 744-3082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110002041 NY Practitioner - Physical Therapist in Private Practice 0749679801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehab on Wheels OT PT PLLCGroup PAC ID 0042585358, 49 clinicians

Practice addresses (Care Compare)

174 Bay 29TH St
Suite C1
Brooklyn, NY 11214-5020
Phone (718) 395-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047964NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Assist Physical Therapy, PLLC Physical Therapist CurrentSince May 27, 2022 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Oct 8, 2021 Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1699430744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 GOUVERNEUR AVE",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921057",
            "telephone_number": "347-744-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 GOUVERNEUR AVE",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921057",
            "telephone_number": "347-744-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTACHI",
        "first_name": "IRINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.