Individual provider Active NPI

Slava Nestor, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1790854362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026503 Issued in NM
Practice address
1725 E 12TH St Ste 501
Brooklyn, NY 11229-1067
Phone
(718) 261-8881
Fax
(718) 261-8889
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 026503 NM Primary

Addresses

Primary practice location

1725 E 12TH St Ste 501
Brooklyn, NY 11229-1067

Mailing address

10124 Queens Blvd Ste a
Forest Hills, NY 11375-2703
Phone (718) 261-8881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000356 NY Practitioner - Physical Therapist in Private Practice 7315947231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Medical Care PLLCGroup PAC ID 1052202744, 8 clinicians

Practice addresses (Care Compare)

1117 Brighton Beach Ave
FL 2
Brooklyn, NY 11235-5558
Phone (718) 998-9900

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.36
Improvement activities
40
Cost
80.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026503NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Care PLLC Current Accepting new patients

Locations

1117 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 998-9900

1117 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (718) 998-9900

10124 Queens Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 261-8881

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790854362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 QUEENS BLVD STE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752703",
            "telephone_number": "718-261-8881",
            "fax_number": "718-261-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291067",
            "telephone_number": "718-261-8881",
            "fax_number": "718-261-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTOR",
        "first_name": "SLAVA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "026503",
            "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 Jul 8, 2007; 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.