Active NPI
Anton Shcherbakov, PT, DPT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036162
- Practice address
- 2455 Haring St Apt 6F
Brooklyn, NY 11235-1818 - Phone
- (718) 314-5139
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 036162 | NY | Primary |
Addresses
Primary practice location
2455 Haring St Apt 6F
Brooklyn, NY 11235-1818
Mailing address
2455 Haring St Apt 6F
Brooklyn, NY 11235-1818
Phone (718) 314-5139
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036162 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Therapy Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Hand Therapy Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Connecticut, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702
761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160
90 Washington St
Norwalk, CT 06854
Phone (475) 273-0583
51 N Main St
Ste 3G
Southington, CT 06489
Phone (203) 389-8177
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
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.
-
- Occupational Therapist
- Woodbridge, CT
- NPI 1518087758
Physical Therapist
-
- Occupational Therapist
- Southington, CT
- NPI 1922567544
Physical Therapist
-
- Physical Therapist
- Old Greenwich, CT
- NPI 1265799365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1700225554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 HARING ST APT 6F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351818",
"telephone_number": "718-314-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 HARING ST APT 6F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351818",
"telephone_number": "718-314-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHCHERBAKOV",
"first_name": "ANTON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036162",
"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 Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.