Michael W Konstalid, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030476-1 Issued in NY

Practice address

370 Marcy Ave
Physical Therapy Room
Brooklyn, NY 11206-4814

Phone

(917) 838-0051

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1740556190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MARCY AVE",
            "address_2": "PHYSICAL THERAPY ROOM",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064814",
            "telephone_number": "917-838-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MARCY AVE",
            "address_2": "PHYSICAL THERAPY ROOM",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064814",
            "telephone_number": "917-838-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTALID",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030476-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yekaterina Konovalova, M.S. CCC-SLP
• Jaime Renee Konrad, C.R.N.A.
• Steven Shane Konrad, M.D.
• Megan Amanda Konrade
• Steven Konstadt, MD
• Elisheva Konstam, PSYD
• Konstantinos Koutelos, M.D. & Irina Krym Physician, P.C.
• Konstantinos Koutros
• Yelena Konstantinovich
• Viktoriya Konstatninidis, LCSW

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.