St. Pavly PT PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

028129 Issued in NY

Legal business name

ST. PAVLY PT PC

Practice address

2955 Brighton 4TH St
Brooklyn, NY 11235-8533

Phone

(347) 587-6410

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Mikhail Salib

Title

President

Phone

(347) 587-6410

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sameh Elias, R.P.T

  • Physical Therapist
  • Woodhaven, NY
  • NPI 1376768507
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1932498458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 20TH AVE",
            "address_2": "APT. 3M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BRIGHTON 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358533",
            "telephone_number": "347-587-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAVLY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-587-6410"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "028129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lydia St. Paul
• Simone St. Paul
• Muller St. Pre, M.D.
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• Valerie St. Vil, LMSW
• St. Vincent's Hospital
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• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.