Mark Reznik, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026417 Issued in NY

Practice address

209 Avenue P
Avenue P Medical Center
Brooklyn, NY 11204

Phone

(718) 259-6666

Fax

(718) 259-7000

NPI assigned

May 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reznik Physical Therapy PCGroup PAC ID 0648226068, 2 clinicians

Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • De Witt, NY
  • NPI 1346530169
  Medicare reassignment Care Compare group NPD
• Reznik Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1164755773
  Medicare reassignment Care Compare group NPD
• Scott Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1841270923
  NPD (past)

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1942467089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "address_2": "AVENUE P MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "address_2": "AVENUE P MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIK",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Barry Reznick, PSY.D.
• Reznik Physical Therapy PC
• Amy Leigh Reznik
• Makhmood Reznik, M.D.
• Mariya Reznik, O.T.
• Natalya Reznik
• Yelena Reznik, P.T.
• Sara Reznikoff, L.AC.
• Alexandra Reznikov, M.D.
• Rimma Reznikova

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.