Organization Active NPI

Vim Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1891307286
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VIM PHYSICAL THERAPY P.C.
Practice address
1565 W 11TH St
Brooklyn, NY 11204-6245
Phone
(929) 422-3804
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Dr. Sohib Kotb, DPT, PT
Title
Owner
Phone
(929) 422-3804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1565 W 11TH St
Brooklyn, NY 11204-6245

Mailing address

77 Prospect Ave Apt 3a
Hackensack, NJ 07601-1923
Phone (929) 422-3804

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1891307286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PROSPECT AVE APT 3A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011923",
            "telephone_number": "929-422-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046245",
            "telephone_number": "929-422-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIM PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "KOTB",
        "authorized_official_first_name": "SOHIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-422-3804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 18, 2020; 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.