Active NPI
Igor Kozlov
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 040427
- Practice address
- 325 Garfield PL
Brooklyn, NY 11215-2351 - Phone
- (718) 230-1180
- NPI assigned
- Aug 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 040427 | NY | Primary |
Addresses
Primary practice location
325 Garfield PL
Brooklyn, NY 11215-2351
Mailing address
2704 Ocean Ave Apt D7
Brooklyn, NY 11229-4635
Phone (917) 215-9662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161012000305 | NY | Practitioner - Physical Therapist in Private Practice | 3173811817 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040427 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esd PT OT & SLP PLLC | Current | Accepting new patients | |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Current | Accepting new patients | |
| Assist Physical Therapy, PLLC | Current | Accepting new patients | |
| At Your Doorstep OT PLLC | Current | Accepting new patients | |
| Stern at Home Physical Therapy PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Current | Accepting new patients | |
| B Stern Physical Therapy P.C. | Current | Accepting new patients | |
| Genesis Medical Health PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500
25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818
23 Robert Pitt Dr
Ste 110
Monsey, NY 10952
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
4 Medical Park Dr
Pomona, NY 10970
Phone (845) 354-6225
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
108 S Franklin Ave
Ste 10
Valley Stream, NY 11580
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1942782966
NY
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
NY
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
NY, Physical Medicine & Rehabilitation
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1750836482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 OCEAN AVE APT D7",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294635",
"telephone_number": "917-215-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 GARFIELD PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152351",
"telephone_number": "718-230-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOV",
"first_name": "IGOR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-23",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "040427",
"primary": true
}
],
"identifiers": [],
"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 Aug 23, 2016; 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.