NPIMap

Organization Active NPI

Parksports Physical Therapy, PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1801270491
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011045 Issued in NY
Legal business name
PARKSPORTS PHYSICAL THERAPY, PLLC
Practice address
142 Prospect Park W Apt 1
Brooklyn, NY 11215-4507
Phone
(718) 398-8800
Fax
(347) 889-5014
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Boris Gilzon, PT, DPTNPI 1023147998
Title
President
Phone
(718) 230-1180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 011045 NY Primary

Addresses

Primary practice location

142 Prospect Park W Apt 1
Brooklyn, NY 11215-4507

Mailing address

142 Prospect Park W Apt 1
Brooklyn, NY 11215-4507
Phone (718) 230-1180

National Provider Directory

National Provider Directory

Locations

808 Union St
Brooklyn, NY 11215
Phone (718) 398-8800

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1801270491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PROSPECT PARK W APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154507",
            "telephone_number": "718-230-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PROSPECT PARK W APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154507",
            "telephone_number": "718-398-8800",
            "fax_number": "347-889-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSPORTS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "GILZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-230-1180",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011045",
            "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 Oct 3, 2019; 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.