Individual provider Active NPI

Yehuda Leib Yudin, PT,DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1932345592
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030202 Issued in NY
Practice address
616 Bedford Ave
Suite B1
Brooklyn, NY 11211-9610
Phone
(718) 797-2235
NPI assigned
Dec 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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 030202 NY Primary

Addresses

Primary practice location

616 Bedford Ave
Suite B1
Brooklyn, NY 11211-9610

Mailing address

710 Lanett Ave
Apt B
Far Rockaway, NY 11691-5514
Phone (646) 210-4510

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kahan OT Services Past Accepting new patients

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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1932345592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LANETT AVE",
            "address_2": "APT B",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915514",
            "telephone_number": "646-210-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BEDFORD AVE",
            "address_2": "SUITE B1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112119610",
            "telephone_number": "718-797-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDIN",
        "first_name": "YEHUDA",
        "middle_name": "LEIB",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030202",
            "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 Dec 31, 2008; 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.