Organization Active NPI

Physiologic Chiropractic & Physical Therapy, PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1932471612
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0081641 Issued in NY
Legal business name
PHYSIOLOGIC CHIROPRACTIC & PHYSICAL THERAPY, PLLC
Practice address
157 Remsen St
Brooklyn, NY 11201-4321
Phone
(718) 260-1000
Fax
(718) 260-0072
NPI assigned
Jan 27, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Rudy A Gehrman, DCNPI 1740372630
Title
President
Phone
(718) 260-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 0081641 NY
Chiropractor 111N00000X XD010420-1 NY
Physical Therapist 225100000X 0081641 NY Primary

Addresses

Primary practice location

157 Remsen St
Brooklyn, NY 11201-4321

Mailing address

157 Remsen St
Brooklyn, NY 11201-4321
Phone (718) 260-1000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1932471612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014321",
            "telephone_number": "718-260-1000",
            "fax_number": "718-260-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014321",
            "telephone_number": "718-260-1000",
            "fax_number": "718-260-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOLOGIC CHIROPRACTIC & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "GEHRMAN",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-260-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "0081641",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XD010420-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0081641",
            "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 27, 2012; 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.