Elite Aquatic Physical Therapy and Rehabilitation, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017724 Issued in NY

Legal business name

ELITE AQUATIC PHYSICAL THERAPY AND REHABILITATION, P.C.

Doing business as

Sindo Manual Physical Therapy

Practice address

128-130 Brighton Beach Avenue
Suite 1, 3Rd Floor
Brooklyn, NY 11235-8372

Phone

(718) 996-1854

Fax

(718) 996-1694

NPI assigned

Nov 13, 2006

Last updated

Mar 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Ray De Gracia Sindo, PT, CERT.MDTNPI 1578558425

Title

Owner

Phone

(718) 996-1854

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• SINDO MANUAL PHYSICAL THERAPY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Ray De Gracia Sindo, P.T., DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1578558425
  Authorized official Same address or phone
• Yelena Vaynshtok, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1255422952
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1770654568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128-130 BRIGHTON BEACH AVENUE",
            "address_2": "SUITE 1, 3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358372",
            "telephone_number": "718-996-1854",
            "fax_number": "718-996-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128-130 BRIGHTON BEACH AVENUE",
            "address_2": "SUITE 1, 3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358372",
            "telephone_number": "718-996-1854",
            "fax_number": "718-996-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AQUATIC PHYSICAL THERAPY AND REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SINDO",
        "authorized_official_first_name": "DANIEL RAY",
        "authorized_official_middle_name": "DE GRACIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-996-1854",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, CERT.MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02657674",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "182224",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0136977",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2517079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4473457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3740765",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "03000005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SINDO MANUAL PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.