Individual provider Active NPI

Igor Kozlov

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1750836482
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
040427 Issued in NY
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

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
040427NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC CurrentSince Jan 15, 2020 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince May 3, 2019 Accepting new patients
Assist Physical Therapy, PLLC CurrentSince Jan 1, 2020 Accepting new patients
At Your Doorstep OT PLLC CurrentSince Oct 11, 2024 Accepting new patients
Stern at Home Physical Therapy PC Physical Medicine & Rehabilitation CurrentSince Jan 26, 2019 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC CurrentSince Sep 7, 2018 Accepting new patients
B Stern Physical Therapy P.C. CurrentSince Feb 8, 2018 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.

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.

Verify at the official NPI Registry.