Tatiana Bulanov, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020707-1 Issued in NY

Practice address

2148 Ocean Ave Ste 301
Brooklyn, NY 11229-1406

Phone

(718) 872-7002

NPI assigned

Jan 3, 2007

Last updated

Jul 21, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mihail Medvedovsky Physician PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1942304001
  Medicare reassignment NPD
• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282
  Medicare reassignment NPD
• Miracle Touch PT PC

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1891147088
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982761375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 E 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355011",
            "telephone_number": "917-882-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291406",
            "telephone_number": "718-872-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2565 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353530",
            "country_code": "US",
            "telephone_number": "718-769-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULANOV",
        "first_name": "TATIANA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020707-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "020707-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vladimir Bukrinsky, D.D.S.
• Joshua Rory Buksbaum, MD
• Zhanna Bukshan
• Marina Buksov, PHARMD
• Carol L Bulakh
• Anabella Bulfon
• Valeriy Bulgakov
• Yelena Anatolyevna Bulgakova
• Bulkan's Health Care Services Inc (Bulkan's Home Care)
• Elida Bulku, PHARM. D.

• 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 Jul 21, 2022; 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.