Organization Active NPI

Rehab One PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1962673665
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB ONE PC
Practice address
1236 Fulton St
Brooklyn, NY 11216-2093
Phone
(718) 398-9600
Fax
(718) 398-9700
NPI assigned
Mar 20, 2008
Organization subpart
Yes
Parent organization
REHAB ONE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Igor Olevsky, PTNPI 1134291628
Title
PT
Phone
(718) 398-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1236 Fulton St
Brooklyn, NY 11216-2093

Mailing address

1236 Fulton St
Brooklyn, NY 11216-2093
Phone (718) 398-9600

Other identifiers 1

IdentifierTypeStateIssuer
Q0W4R1OtherNYMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000152 NY Part B Supplier - Clinic/Group Practice 4385533371 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Rehabone Physical Thera

Locations

2952 Brighton 3rd St
Ste 302
Brooklyn, NY 11235
Phone (718) 232-4100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1962673665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162093",
            "telephone_number": "718-398-9600",
            "fax_number": "718-398-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162093",
            "telephone_number": "718-398-9600",
            "fax_number": "718-398-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ONE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB ONE PC",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "OLEVSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-398-9600",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "Q0W4R1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.