Innovative Physical Therapeutics

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INNOVATIVE PHYSICAL THERAPEUTICS

Practice address

114 E 72ND St PH B
New York, NY 10021-4274

Phone

(646) 398-7486

Fax

(646) 398-7532

NPI assigned

Feb 10, 2023

Last updated

Feb 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kuba Bryl, LAC., LMT

Title

President

Phone

(646) 258-1194

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mikhail Gleyzer, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • New York, NY
  • NPI 1083637508
  NPD

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1912604828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 35TH ST APT 4G",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034628",
            "telephone_number": "646-258-1194",
            "fax_number": "646-398-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 72ND ST PH B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214274",
            "telephone_number": "646-398-7486",
            "fax_number": "646-398-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICAL THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "BRYL",
        "authorized_official_first_name": "KUBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-258-1194",
        "authorized_official_credential": "LAC., LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Healthcare Systems, Inc.
• Innovative Medical Concepts P.C.
• Innovative Medical Diagnostic Care PC
• Innovative Medical Diagnostic Care, PC
• Innovative Mr Imaging, PC
• Innovative Psychological Wellness PLLC
• Innovative Therapeutics,LLC
• Innovative Therapy Solutions
• Irene Naomi Inoa
• Elizabeth Inocente

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.