Active NPI
Grand Rehab PT PC
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1710371653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GRAND REHAB PT PC
- Practice address
- 153 Bay 26TH St
Brooklyn, NY 11214-4994 - Phone
- (347) 702-9958
- Fax
- (347) 507-2022
- NPI assigned
- Mar 27, 2015
- Last updated
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adam Gazdzinski, DPT
- Title
- Provider
- Phone
- (646) 863-8353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
153 Bay 26TH St
Brooklyn, NY 11214-4994
Mailing address
153 Bay 26TH St
Brooklyn, NY 11214-4994
Phone (347) 702-9958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04869994 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- New York, NY
- NPI 1124236336
-
- Physical Therapist
- Brooklyn, NY
- NPI 1679232391
-
- Physical Therapist
- Rego Park, NY
- NPI 1033990346
-
- Physical Therapist
- Flushing, NY
- NPI 1760858591
-
- Orthopedic Physical Therapist
- Bronx, NY
- NPI 1558983635
-
- Physical Therapist
- New York, NY
- NPI 1992516819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1710371653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 BAY 26TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144994",
"telephone_number": "347-702-9958",
"fax_number": "347-710-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 BAY 26TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144994",
"telephone_number": "347-702-9958",
"fax_number": "347-507-2022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND REHAB PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "GAZDZINSKI",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "646-863-8353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04869994",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Reeva D Grammatikopoulos, RN
- Sallye Renee Granberry, M.D.
- Grand Buy Pharmacy Inc
- Grand Family Immediate Medical Care
- Keslene Grand Pierre
- Grand Street Medical PLLC (Jayant H. Gandhi,M.D.)
- Grand Street Medicine & Rehabilitation P C
- Grand Vision Optometry P.C.
- Mark Alan Grand, MD
- Grandbrook Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.