Individual provider Active NPI

Kelly Teresa Berkowsky, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1760797997
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031937 Issued in NY
Practice address
49 Montrose Ave
Brooklyn, NY 11206-2580
Phone
(718) 478-3808
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031937 NY Primary

Addresses

Primary practice location

49 Montrose Ave
Brooklyn, NY 11206-2580

Mailing address

379 W Cortland Ave
Oceanside, NY 11572-4041
Phone (917) 709-7454

Other practice location 1

1651 Coney Island Ave
Brooklyn, NY 11230-5849
Phone (718) 998-1415

Other names 1

  • Kelly Teresa Stokes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191213001518 NY Practitioner - Physical Therapist in Private Practice 4082047527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 clinicians

Practice addresses (Care Compare)

2632 Atlantic Ave
Brooklyn, NY 11207-2425
Phone (718) 473-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Jul 16, 2024 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 1

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1760797997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 W CORTLAND AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724041",
            "telephone_number": "917-709-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MONTROSE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062580",
            "telephone_number": "718-478-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112305849",
            "country_code": "US",
            "telephone_number": "718-998-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWSKY",
        "first_name": "KELLY",
        "middle_name": "TERESA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "STOKES",
            "middle_name": "TERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 2, 2019; 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.