Boro Wellness Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BORO WELLNESS PHYSICAL THERAPY LLC

Practice address

4909 Fort Hamilton Pkwy
Brooklyn, NY 11219-3386

Phone

(347) 820-1495

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Buenagua Rustia, PTNPI 1013998285

Title

Physical Therapist

Phone

(347) 820-1495

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Ronald Buenagua Rustia, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1013998285
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1942780317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 FORT HAMILTON PKWY STE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193372",
            "telephone_number": "347-627-9434",
            "fax_number": "347-627-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193386",
            "telephone_number": "347-820-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORO WELLNESS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "RUSTIA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "BUENAGUA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-820-1495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boro Park Physical Fitness LLC
• Boro Park Physical Therapy PLLC
• Boro Park Primary Medical PLLC
• Boro Pharmacy Inc (Boro Pharmacy)
• Boro Test Inc
• Joseph Uriah Boroda
• Zoya Borodanski
• Alla Borodina, LMSW
• Natalie Borodoker, M.D.
• Vitaliy Borodulin, M.D.

• 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 Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.