Provider Demographics
NPI:1740738541
Name:BROOKLYN PHYSICAL THERAPY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:BROOKLYN PHYSICAL THERAPY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-622-0224
Mailing Address - Street 1:973 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2346
Mailing Address - Country:US
Mailing Address - Phone:718-622-0224
Mailing Address - Fax:718-622-0135
Practice Address - Street 1:973 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2346
Practice Address - Country:US
Practice Address - Phone:718-622-0224
Practice Address - Fax:718-622-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0202272251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty