Individual provider Active NPI

Lea Krasnow

  • Physical Therapist
  • Rockaway Park, NY
National Provider Identifier
1770028789
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041184 Issued in NY
Practice address
10322 Rockaway Beach Blvd
Rockaway Park, NY 11694-2739
Phone
(718) 318-8550
NPI assigned
Dec 29, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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 041184 NY Primary

Addresses

Primary practice location

10322 Rockaway Beach Blvd
Rockaway Park, NY 11694-2739

Mailing address

833 Central Ave
Apt 3O
Far Rockaway, NY 11691-4652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170301000249 NY Practitioner - Physical Therapist in Private Practice 4981988474 Reassigns benefits to 3 organizations
Practice locations: Far Rockaway, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ats Rehab OT and PT and SLP PLLCGroup PAC ID 2567734452, 39 clinicians
Integrative Rehabilitation PT PCGroup PAC ID 3678045044, 10 clinicians

Practice addresses (Care Compare)

274 W Broadway
Long Beach, NY 11561-3911
Phone (718) 809-4370

636 Louisiana Ave
Brooklyn, NY 11239-1526
Phone (732) 399-9700

820 Front St
Hempstead, NY 11550-4627
Phone (732) 399-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041184NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associate PT PC CurrentSince Dec 14, 2018 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
On-Site Physical & Occupational Therapy, PLLC Physical Therapist Past Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

165 Division Ave
Brooklyn, NY 11211
Phone (718) 253-8000

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

10322 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (516) 937-8975

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1770028789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CENTRAL AVE",
            "address_2": "APT 3O",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10322 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942739",
            "telephone_number": "718-318-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNOW",
        "first_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.