Individual provider Active NPI

Yelena Harpaz, PHYSICAL THERAPIST

  • Physical Therapist
  • Amytiville, NY
National Provider Identifier
1720314040
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031350-1 Issued in NY
Practice address
333 Broadway
Suite 2
Amytiville, NY 11701
Phone
(631) 789-1900
Fax
(631) 789-1985
NPI assigned
Oct 21, 2009
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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 031350-1 NY Primary

Addresses

Primary practice location

333 Broadway
Suite 2
Amytiville, NY 11701

Mailing address

8510 122ND St
Kew Gardens, NY 11415-3232
Phone (718) 504-2355

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
031350-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Physical Therapy Service P.C. Physical Therapist PastSince Feb 3, 2011 Accepting new patients
Glenn Segal Physical Therapy P.C. Physical Therapist PastSince Oct 17, 2000 Accepting new patients

Organizations & group practices 2

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": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1720314040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 122ND ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153232",
            "telephone_number": "718-504-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "address_2": "SUITE 2",
            "city": "AMYTIVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-789-1900",
            "fax_number": "631-789-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPAZ",
        "first_name": "YELENA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.