Active NPI
Mark Leventhal, P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1902813520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013574-1
- Practice address
- 67 Parkway CT
Brooklyn, NY 11235-6112 - Phone
- (718) 872-6031
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013574-1 | NY | Primary |
Addresses
Primary practice location
67 Parkway CT
Brooklyn, NY 11235-6112
Mailing address
67 Parkway CT
Brooklyn, NY 11235-6112
Phone (718) 872-6031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013574-1 | NY | MD | Physical Therapist |
| 013574 | NY | MD | Speech-Language Pathologist |
Interoperability endpoints
- mark.leventhal.p2@direct.ucpnyc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902813520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 PARKWAY CT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356112",
"telephone_number": "718-872-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 PARKWAY CT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356112",
"telephone_number": "718-872-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENTHAL",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013574-1",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.