Individual provider Active NPI

Gregory Trakhtenberg, M.S., P.T.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1750394003
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020674 Issued in NY
Practice address
3003 Ocean Pkwy
Ground Floor
Brooklyn, NY 11235-8388
Phone
(718) 714-6995
NPI assigned
Aug 15, 2006
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 020674 NY Primary

Addresses

Primary practice location

3003 Ocean Pkwy
Ground Floor
Brooklyn, NY 11235-8388

Mailing address

2546 E 13TH St
Apt F7
Brooklyn, NY 11235-4358
Phone (718) 714-6995

Other identifiers 1

IdentifierTypeStateIssuer
02216439MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040626000421 NY Practitioner - Physical Therapist in Private Practice 8123004561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feel Good Physical Therapy PCGroup PAC ID 5799676276, 2 clinicians

Practice addresses (Care Compare)

2993 Ocean Pkwy
Brooklyn, NY 11235-8302
Phone (718) 714-6995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
020674NYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Feel Good Physical Therapy, PC Specialist CurrentSince Jul 1, 2002 Accepting new patients
Adaptation Medical, PC Specialist Past Accepting new patients
Convalescence Medical PC Single Specialty PastSince Aug 2, 2020 Accepting new patients
Midtown East Physical Therapy Single Specialty Past Accepting new patients

Locations

2993 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 373-0777

2626 E 14th St
Ste 204
Brooklyn, NY 11235
Phone (718) 513-1400

Organizations & group practices 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1750394003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 13TH ST",
            "address_2": "APT F7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354358",
            "telephone_number": "718-714-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 OCEAN PKWY",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358388",
            "telephone_number": "718-714-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAKHTENBERG",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "M.S., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "020674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216439",
            "state": "NY"
        }
    ],
    "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 Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.