NPIMap

Organization Active NPI

Main Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1831494483
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022064 Issued in NY
Legal business name
MAIN PHYSICAL THERAPY PC
Practice address
1701 W 5TH St
Brooklyn, NY 11223-1403
Phone
(718) 440-6253
Fax
(347) 673-7904
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Lana Goncharova
Title
Med Biller
Phone
(718) 775-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 022064 NY Primary

Addresses

Primary practice location

1701 W 5TH St
Brooklyn, NY 11223-1403

Mailing address

1701 W 5TH St
Brooklyn, NY 11223-1403
Phone (718) 440-6253

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1831494483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231403",
            "telephone_number": "718-440-6253",
            "fax_number": "347-673-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231403",
            "telephone_number": "718-440-6253",
            "fax_number": "347-673-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "GONCHAROVA",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "MED BILLER",
        "authorized_official_telephone_number": "718-775-8717"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022064",
            "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 Jan 12, 2011; 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.