Alina Fatakhova, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043158-1 Issued in NY

Practice address

202 Union Ave Ste K
Brooklyn, NY 11211-7467

Phone

(718) 387-7420

Fax

(718) 387-7421

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Equilibrium LLCGroup PAC ID 7315256906, 4 clinicians

Brooklyn Body Works Physical Therapy, P.C.Group PAC ID 0840224911, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alina@bbwphysicaltherapy.com

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.

• Brooklyn Body Works Physical Therapy, P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1174511646

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Equilibrium, LLC

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1710383419
  Medicare reassignment Care Compare group NPD
• Brooklyn Body Works Physical Therapy - Northside

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1275398265
  NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1962097618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 UNION AVE STE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117467",
            "telephone_number": "718-387-7420",
            "fax_number": "718-387-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 UNION AVE STE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117467",
            "telephone_number": "718-387-7420",
            "fax_number": "718-387-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAKHOVA",
        "first_name": "ALINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043158-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALINA@BBWPHYSICALTHERAPY.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "address_1": "202 Union Ave Ste K",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112117467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Venka D Fasulo, R.N
• Gerardina Elvira Fata, M.A.,CCC-SLP
• Fayoke Fatade, RN
• Nadia Fatahi
• Boris N Fatakhov, MD
• Inessa Fatakhova
• Mazol Fatakhova
• Timothy Fatato, LAC
• Natalia G Fateeva
• Mary Fatehi, MD

• 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 Mar 4, 2021; 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.