Individual provider Active NPI

Irina Kataeva, DPT

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1891165130
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039375-1 Issued in NY
Practice address
8815 63Rd Ave
Rego Park, NY 11374-2813
Phone
(917) 689-8072
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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 039375-1 NY Primary

Addresses

Primary practice location

8815 63Rd Ave
Rego Park, NY 11374-2813

Mailing address

8815 63Rd Ave
Rego Park, NY 11374-2813
Phone (917) 689-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001568 NY Practitioner - Physical Therapist in Private Practice 0244533420 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rubinshteyn Medical PCGroup PAC ID 9335137447, 3 clinicians

Practice addresses (Care Compare)

9713 64TH Rd
Rego Park, NY 11374-2274
Phone (718) 896-4090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039375-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority One Therapy PT OT SLP PLLC CurrentSince May 1, 2016 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients
Rubinshteyn Medical PC CurrentSince Oct 10, 2022 Accepting new patients
Comprehensive Primary Family Medical Care of Ny, PLLC PastSince Mar 1, 2018 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1891165130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 63RD AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742813",
            "telephone_number": "917-689-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 63RD AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742813",
            "telephone_number": "917-689-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAEVA",
        "first_name": "IRINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039375-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.