Organization Active NPI

Rehab One Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1760458665
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB ONE PHYSICAL THERAPY P.C.
Practice address
360 Court St
Brooklyn, NY 11231-4353
Phone
(718) 858-3335
Fax
(718) 858-3229
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Mr. Igor A Olevsky
Title
Physical Therapy
Phone
(718) 858-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

360 Court St
Brooklyn, NY 11231-4353

Mailing address

360 Court St
Brooklyn, NY 11231-4353
Phone (718) 858-3335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000152 NY Part B Supplier - Clinic/Group Practice 4385533371 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1760458665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314353",
            "telephone_number": "718-858-3335",
            "fax_number": "718-858-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314353",
            "telephone_number": "718-858-3335",
            "fax_number": "718-858-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ONE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "OLEVSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "718-858-3335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 May 5, 2009; 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.