Individual provider Active NPI

Lyubov Servakh

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1992949713
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0155671 Issued in NY
Practice address
2114 E 24TH St # 3a
Brooklyn, NY 11229-4902
Phone
(917) 330-6321
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0155671 NY Primary

Addresses

Primary practice location

2114 E 24TH St # 3a
Brooklyn, NY 11229-4902

Mailing address

2114 E 24TH St # 3a
Brooklyn, NY 11229-4902
Phone (917) 330-6321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000056 NY Practitioner - Occupational Therapist in Private Practice 4688722218 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting Rehab PT OT SLP PLLCGroup PAC ID 2961817564, 10 clinicians
Homeside Rehab PT OT SLP LLCGroup PAC ID 7810045309, 45 clinicians

Practice addresses (Care Compare)

3846 Flatlands Ave
Suite 2
Brooklyn, NY 11234-3525
Phone (917) 754-6634

441 Route 306
Suite 2
Monsey, NY 10952-1234
Phone (718) 377-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0155671NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince Jun 27, 2018 Accepting new patients
Homeside Rehab, PT, OT, SLP LLC CurrentSince Feb 7, 2019 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jan 1, 2021 Accepting new patients
Visiting Rehab PT OT SLP PLLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients
Prokinetics Physical Therapy P.C. PastSince Jul 5, 2023 Accepting new patients
Ny Prime Care Medical, PC Past Accepting new patients

Locations

3846 Flatlands Ave
#2
Brooklyn, NY 11234
Phone (917) 754-6634

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

296 Route 59
Ste 1225
Suffern, NY 10901

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 6

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1992949713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 E 24TH ST # 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294902",
            "telephone_number": "917-330-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 E 24TH ST # 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294902",
            "telephone_number": "917-330-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVAKH",
        "first_name": "LYUBOV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0155671",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.