Individual provider Active NPI

Machial Kreyner, D.P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1851724405
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036787 Issued in NY
Practice address
8718 Bay Pkwy FL 1-2
Brooklyn, NY 11214-5272
Phone
(718) 266-0900
NPI assigned
Aug 19, 2013
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 036787 NY Primary

Addresses

Primary practice location

8718 Bay Pkwy FL 1-2
Brooklyn, NY 11214-5272

Mailing address

2411 E 2ND St
Brooklyn, NY 11223-6041
Phone (718) 909-5929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131115001409 NY Practitioner - Physical Therapist in Private Practice 5092941351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Western University of Health Sciences College of Dental Med, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Back 2 Shape PT and OT PLLCGroup PAC ID 8921367798, 2 clinicians

Practice addresses (Care Compare)

1414 Sheepshead Bay Rd
Suite 103
Brooklyn, NY 11235-3814
Phone (718) 909-5929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036787NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Shape P.T. & O.T., PLLC Physical Therapist CurrentSince Sep 13, 2017 Accepting new patients
Back 2 Shape Physical Therapy, PLLC Physical Therapist CurrentSince Jan 15, 2014 Accepting new patients
Magic Hands Physical Therapy PLLC CurrentSince Aug 20, 2013 Accepting new patients

Locations

1414 Sheepshead Bay Rd
Ste 103
Brooklyn, NY 11235
Phone (718) 909-5929

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1851724405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236041",
            "telephone_number": "718-909-5929",
            "fax_number": "718-942-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8718 BAY PKWY FL 1-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145272",
            "telephone_number": "718-266-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREYNER",
        "first_name": "MACHIAL",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036787",
            "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 Feb 12, 2020; 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.