Active NPI
Yampolsky PT PC
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1922430529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019652
- Legal business name
- YAMPOLSKY PT PC
- Practice address
- 45 Providence St
Staten Island, NY 10304-4306 - Phone
- (646) 354-8396
- NPI assigned
- Aug 6, 2013
- 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
- Julia Yampolsky, PT
- Title
- Owner
- Phone
- (646) 354-8396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019652 | NY | Primary |
Addresses
Primary practice location
45 Providence St
Staten Island, NY 10304-4306
Mailing address
45 Providence St
Staten Island, NY 10304-4306
Phone (646) 354-8396
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1922430529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PROVIDENCE ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044306",
"telephone_number": "646-354-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 PROVIDENCE ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044306",
"telephone_number": "646-354-8396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAMPOLSKY PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "YAMPOLSKY",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-354-8396",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "019652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.