Individual provider Active NPI

Arthur David Zolotarevsky, PT, PHDC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1750138954
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
016772-01 Issued in NY
Practice address
40 E 23Rd St FL 3
New York, NY 10010-4400
Phone
(877) 806-3323
NPI assigned
May 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 016772-01 NY Primary

Addresses

Primary practice location

40 E 23Rd St FL 3
New York, NY 10010-4400

Mailing address

25 Chester CT
Brooklyn, NY 11225-5663
Phone (917) 287-4447

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016772-01NYMDPhysical Therapy Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1750138954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHESTER CT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255663",
            "telephone_number": "917-287-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E 23RD ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104400",
            "telephone_number": "877-806-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLOTAREVSKY",
        "first_name": "ARTHUR",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT, PHDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "016772-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.