Individual provider Active NPI

Abe Kopolovich, PT

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1699889600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
027576-1 Issued in NY
Practice address
856 46TH St
Brooklyn, NY 11220-1617
Phone
(917) 494-7748
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 027576-1 NY Primary

Addresses

Primary practice location

856 46TH St
Brooklyn, NY 11220-1617

Mailing address

852 46TH St
Brooklyn, NY 11220-1616
Phone (718) 435-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000202 NY Practitioner - Physical Therapist in Private Practice 9335147032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy in Motion PT OT PLLCGroup PAC ID 1658895644, 2 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11220
Phone (718) 435-7000

856 46TH St
Brooklyn, NY 11220-1617

856 46TH St
Brooklyn, NY 11220-1656
Phone (917) 494-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027576-1NYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy-in-Motion Physical Therapy & Rehabilitation Services, PC Physical Therapy CurrentSince Mar 18, 2006 Accepting new patients
Bienetre Medical PC Physical Therapy CurrentSince Oct 12, 2025 Accepting new patients
Therapy in Motion PT OT, PLLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699889600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201616",
            "telephone_number": "718-435-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201617",
            "telephone_number": "917-494-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPOLOVICH",
        "first_name": "ABE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "027576-1",
            "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 Jul 8, 2007; 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.