NPIMap

Organization Active NPI

Vip Health & Fitness OT PC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1841509262
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
009163 Issued in NY
Legal business name
VIP HEALTH & FITNESS OT PC
Practice address
1723 Elm Ave
Brooklyn, NY 11230-5306
Phone
(718) 676-2265
Fax
(718) 676-2262
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Leonid Yagudayev, OT
Title
President
Phone
(718) 676-2265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 009163 NY Primary

Addresses

Primary practice location

1723 Elm Ave
Brooklyn, NY 11230-5306

Mailing address

1723 Elm Ave
Brooklyn, NY 11230-5306
Phone (718) 676-2265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1841509262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 ELM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305306",
            "telephone_number": "718-676-2265",
            "fax_number": "718-676-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 ELM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305306",
            "telephone_number": "718-676-2265",
            "fax_number": "718-676-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP HEALTH & FITNESS OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "YAGUDAYEV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-676-2265",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009163",
            "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 4, 2010; 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.