NPIMap

Organization Active NPI

Miracle Touch PT PC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1891147088
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
020707 Issued in NY
Legal business name
MIRACLE TOUCH PT PC
Practice address
2543 E 11TH St
Brooklyn, NY 11235-5011
Phone
(917) 882-0550
Fax
(718) 615-9409
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Tatiana Bulanov, MSNPI 1982761375
Title
President
Phone
(917) 882-0550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 020707 NY Primary

Addresses

Primary practice location

2543 E 11TH St
Brooklyn, NY 11235-5011

Mailing address

2543 E 11TH St
Brooklyn, NY 11235-5011
Phone (917) 882-0550

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": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1891147088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 E 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355011",
            "telephone_number": "917-882-0550",
            "fax_number": "718-615-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 E 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355011",
            "telephone_number": "917-882-0550",
            "fax_number": "718-615-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE TOUCH PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "BULANOV",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-882-0550",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "020707",
            "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 Jul 12, 2016; 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.