Active NPI
Ny Homeside Rehab PT OT SLP PLLC
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1891330429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NY HOMESIDE REHAB PT OT SLP PLLC
- Practice address
- 3846 Flatlands Ave
Brooklyn, NY 11234-3525 - Phone
- (718) 377-5000
- Fax
- (718) 377-5002
- NPI assigned
- Nov 7, 2019
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yisroel Brody, DPT
- Title
- Member
- Phone
- (718) 377-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
3846 Flatlands Ave
Brooklyn, NY 11234-3525
Mailing address
3846 Flatlands Ave
Brooklyn, NY 11234-3525
Phone (718) 377-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191120003177 | NY | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9638501141 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1649440777
-
- Physical Therapist
- Brooklyn, NY
- NPI 1871153049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1891330429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3846 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343525",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3846 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343525",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY HOMESIDE REHAB PT OT SLP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-07",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BRODY",
"authorized_official_first_name": "YISROEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-377-5000",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.