Individual provider Active NPI

Aleksandr Dekhtyarev, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1821246083
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030526 Issued in NY
Practice address
2044 E 18TH St Apt 2F
Brooklyn, NY 11229-3836
Phone
(917) 538-5175
NPI assigned
Aug 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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 030526 NY Primary

Addresses

Primary practice location

2044 E 18TH St Apt 2F
Brooklyn, NY 11229-3836

Mailing address

2044 E 18TH St Apt 2F
Brooklyn, NY 11229-3836
Phone (917) 538-5175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090427000300 NY Practitioner - Physical Therapist in Private Practice 9032267307 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

887 Ae New York Ave
Brooklyn, NY 11203-1309
Phone (718) 230-6031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Sep 6, 2019 Accepting new patients
East Shore Medical PC Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

900 Route 9 N
Fl 4
Woodbridge, NJ 07095

5322 Avenue N
Brooklyn, NY 11234
Phone (718) 241-1488

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

2565 E 17th St
Brooklyn, NY 11235
Phone (347) 492-4083

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

8718 Bay Pkwy
Ste 3
Brooklyn, NY 11214
Phone (718) 210-7473

2148 Ocean Ave
Ste 301
Brooklyn, NY 11229
Phone (718) 513-4747

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1821246083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 E 18TH ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293836",
            "telephone_number": "917-538-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 E 18TH ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293836",
            "telephone_number": "917-538-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKHTYAREV",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030526",
            "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 Aug 29, 2008; 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.