Individual provider Active NPI

Vladislav Ravitski, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1922160480
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024269 Issued in NY
Practice address
501 Brighton Beach Ave FL 2
Brooklyn, NY 11235-6403
Phone
(929) 423-7305
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 024269 NY Primary

Addresses

Primary practice location

501 Brighton Beach Ave FL 2
Brooklyn, NY 11235-6403

Mailing address

501 Brighton Beach Ave FL 2
Brooklyn, NY 11235-6403
Phone (929) 423-7305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000065 NY Practitioner - Physical Therapist in Private Practice 7911973110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Brighton Beach Ave
Brooklyn, NY 11235-6403
Phone (347) 702-8805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Classical Rehabilitation Physical Therapy PC Physical Therapist CurrentSince Jan 28, 2019 Accepting new patients

Locations

501 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (347) 702-8805

501 Brighton Beach Ave
#B
Brooklyn, NY 11235
Phone (347) 702-8805

Organizations & group practices 1

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1922160480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BRIGHTON BEACH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356403",
            "telephone_number": "929-423-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BRIGHTON BEACH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356403",
            "telephone_number": "929-423-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVITSKI",
        "first_name": "VLADISLAV",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024269",
            "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 Jan 23, 2019; 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.