NPIMap

Organization Active NPI

Back to Health Physical Therapy, PC

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1831220839
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023238 Issued in NY
Legal business name
BACK TO HEALTH PHYSICAL THERAPY, PC
Practice address
1731 Seagirt Blvd
Far Rockaway, NY 11691-4513
Phone
(718) 868-8668
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dr. Mark Vaysman, D.P.T.NPI 1699866814
Title
President
Phone
(347) 244-2530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 023238 NY Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X DDP3487 NY

Addresses

Primary practice location

1731 Seagirt Blvd
Far Rockaway, NY 11691-4513

Mailing address

458 Beach 142 STR.
Rockaway Park, NY 11694
Phone (347) 244-2530

Other practice location 1

535 Flushing Ave
Brooklyn, NY 11205-1610
Phone (718) 488-7272

Other practice location 2

1270 44th St
Brooklyn, NY 11219-2260
Phone (718) 840-3399

Other practice location 3

492 Lefferts Ave
Brooklyn, NY 11225-4781
Phone (718) 774-6144

Other practice location 4

2004 Seagirt Blvd
Far Rockaway, NY 11691-2810
Phone (718) 868-8668

Other practice location 5

2876 W 27th St
Brooklyn, NY 11224-2812
Phone (718) 265-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041215000945 NY Part B Supplier - Clinic/Group Practice 5193782621 Receives reassigned benefits from 5 practitioners
Practice locations: Far Rockaway, NY

National Provider Directory

National Provider Directory

Locations

1270 44th St
Brooklyn, NY 11219
Phone (718) 840-3003

711C Seagirt Ave
Far Rockaway, NY 11691
Phone (718) 471-4073

2004 Seagirt Blvd
Ste 1
Far Rockaway, NY 11691

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1831220839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 BEACH 142 STR.",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "347-244-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914513",
            "telephone_number": "718-868-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Flushing Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112051610",
            "country_code": "US",
            "telephone_number": "718-488-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 44th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192260",
            "country_code": "US",
            "telephone_number": "718-840-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "492 Lefferts Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112254781",
            "country_code": "US",
            "telephone_number": "718-774-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Seagirt Blvd",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116912810",
            "country_code": "US",
            "telephone_number": "718-868-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2876 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112242812",
            "country_code": "US",
            "telephone_number": "718-265-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACK TO HEALTH PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "VAYSMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-244-2530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023238",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "DDP3487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.