Individual provider Active NPI

Kevin Polinsky

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1699531004
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028302 Issued in NY
Practice address
174 Bay 29TH St # C2
Brooklyn, NY 11214-5020
Phone
(718) 395-7445
NPI assigned
Feb 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 028302 NY Primary

Addresses

Primary practice location

174 Bay 29TH St # C2
Brooklyn, NY 11214-5020

Mailing address

174 Bay 29TH St # C2
Brooklyn, NY 11214-5020

Other practice location 1

174 Bay 29th St # C2
Brooklyn, NY 11214-5020
Phone (718) 395-7445

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prokinetics Physical Therapy P.C. CurrentSince Jan 24, 2024 Accepting new patients

Locations

174 Bay 29th St
#C2
Brooklyn, NY 11214
Phone (718) 395-7445

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1699531004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BAY 29TH ST # C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BAY 29TH ST # C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145020",
            "telephone_number": "718-395-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Bay 29th St # C2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112145020",
            "country_code": "US",
            "telephone_number": "718-395-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLINSKY",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028302",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2024; 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.