Individual provider Active NPI

Anton Shcherbakov, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1700225554
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036162 Issued in NY
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

Updated by the provider on Jun 14, 2013

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 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

LicenseStateTypeSpecialty
036162NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Ivyrehab Connecticut, Inc. Physical Therapist CurrentSince Dec 20, 2024 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.

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.

Verify at the official NPI Registry.