Organization Active NPI

Yampolsky PT PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1922430529
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019652 Issued in NY
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

Updated by the provider on Aug 6, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.