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NPI 1558248799ActiveIndividual· Physical Therapist· Brooklyn, NY
Physical Therapist with Physical Therapy of the City PC and 1 other group, practicing in Brooklyn, New York. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1558248799 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 19, 2025 |
| Last updated in NPPES | Aug 19, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Physical Therapy of the City PCNew York, NY · 72 clinicians
- Jal 28 LLCBrooklyn, NY · 13 clinicians
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All 2,751 physical therapists in Brooklyn · All physical therapists in New York