Individual provider Active NPI

Oleg Uzhansky, PT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1982035812
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7618 Ogontz Ave
Philadelphia, PA 19150-1817
Phone
(267) 323-2778
NPI assigned
Dec 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7618 Ogontz Ave
Philadelphia, PA 19150-1817

Mailing address

7618 Ogontz Ave
Philadelphia, PA 19150-1817
Phone (267) 323-2778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502000673 PA Practitioner - Physical Therapist in Private Practice 4587897228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eliav Healthcare LLC CurrentSince Jun 7, 2020 Accepting new patients
Upt Services Inc. Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1982035812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 OGONTZ AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501817",
            "telephone_number": "267-323-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 OGONTZ AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501817",
            "telephone_number": "267-323-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZHANSKY",
        "first_name": "OLEG",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.