NPIMap

Organization Active NPI

Brooklyn Physical and Occupational Therapy, PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1982267654
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BROOKLYN PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Practice address
142 Prospect Park W
Brooklyn, NY 11215-4506
Phone
(917) 833-1273
NPI assigned
Apr 18, 2019
Organization subpart
Yes
Parent organization
PARKSPORTS PHYSICAL THERAPY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Mr. Boris Gilzon, DPTNPI 1023147998
Title
Member
Phone
(917) 833-1273

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

142 Prospect Park W
Brooklyn, NY 11215-4506

Mailing address

391 16TH St
Brooklyn, NY 11215-5607
Phone (917) 833-1273

Other names 1

  • Park Sports Physical Therapy Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brooklyn Direct

National Provider Directory

National Provider Directory
Part of
Parksports Physical Therapy PLLC

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": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1982267654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155607",
            "telephone_number": "917-833-1273",
            "fax_number": "718-230-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154506",
            "telephone_number": "917-833-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PHYSICAL AND OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKSPORTS PHYSICAL THERAPY, PLLC",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "GILZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-833-1273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "endpointDescription": "info@parksportspt.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Brooklyn",
            "address_1": "391 16th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112155607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Park Sports Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.