Professional Care Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL CARE PHYSICAL THERAPY PC

Practice address

895 Hylan Blvd
Staten Island, NY 10305-2020

Phone

(718) 701-4545

NPI assigned

Apr 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Alexander YegorovNPI 1295902617

Title

Physical Therapist/President

Phone

(718) 701-4545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Alexander Yegorov, PT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1295902617
  Medicare reassignment Care Compare group NPD Authorized official
• Vidato Parpan, PT

  • Physical Therapist
  • Jamaica, NY
  • NPI 1659431674
  Medicare reassignment Care Compare group NPD
• Marina Gefen, DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1487197752
  Medicare reassignment Care Compare group
• Klaydson Jose Martins Borges, ACUPUNCTURIST

  • Acupuncturist
  • Staten Island, NY
  • NPI 1114494135

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1962646976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 WALCOTT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146327",
            "telephone_number": "718-701-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052020",
            "telephone_number": "718-701-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "YEGOROV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "718-701-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Jul 17, 2014; 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.