Active NPI
Rehab One Physical Therapy P.C.
- Physical Therapy Clinic/Center
- Brooklyn, NY
National Provider Identifier
1760458665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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.